Individual
MR. CORY JAMES WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP/BCBA
Contact information
Practice address
79 THREE PONDS DR, CENTERVILLE, MA 02632-1528
(508) 776-8619
Mailing address
79 THREE PONDS DR, CENTERVILLE, MA 02632-1528
(508) 776-8619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-13262
MA
235Z00000X
Speech-Language Pathologist
Primary
SP-8376-SL
MA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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