Individual
VICTORIA WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
23 ELM ST # 2, DORCHESTER, MA 02122-3530
(716) 867-7719
Mailing address
23 ELM ST # 2, DORCHESTER, MA 02122-3530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9425
MA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/29/2015
Last updated
06/02/2024
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