Individual
JOSHUA WISE TENENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
40 GRANITE ST, CAMBRIDGE, MA 02139-4710
(617) 349-6575
Mailing address
334 HIGHLAND AVE APT 2, SOMERVILLE, MA 02144-3177
(617) 852-1704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031628-01
NY
235Z00000X
Speech-Language Pathologist
78082-SP-SL
MA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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