Individual
TIMOTHY DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
193 OAK ST, SUITE 1, NEWTON, MA 02464-1457
(516) 361-4521
Mailing address
156 LAKE ST # 2, BRIGHTON, MA 02135-3825
(516) 361-4521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9165
MA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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