Organization
NORTHEASTERN UNIVERSITY
Active
Parent organization
NORTHEASTERN UNIVERSITY
Other names
Speech-Language and Hearing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEASTERN UNIVERSITY
Authorized official
MR. SAMUEL B. SOLOMON (DIRECTOR OF FINANCE AND TREASURER)
(617) 373-2597
Entity
Organization
Contact information
Practice address
30 LEON ST, 503 BEHARKIS HEALTH SCIENCES CENTER, BOSTON, MA 02115-5009
(617) 373-2492
(617) 373-8756
Mailing address
30 LEON ST, 503 BEHARKIS HEALTH SCIENCES CENTER, BOSTON, MA 02115-5009
(617) 373-2492
(617) 373-8756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4AKD
MA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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