Individual
MS. EMILIE ROSE LOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
940 BELMONT ST BLDG 3, BROCKTON, MA 02301-5596
(774) 826-2133
Mailing address
3957 WASHINGTON ST APT 3L, ROSLINDALE, MA 02131-1240
(508) 505-8031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76492
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14134184
ASHA CERTIFICATION OF CLINICAL COMPETENCE
MA
01
—
76492
MASSACHUSETTS STATE LICENSURE IN SPEECH LANGUAGE PATHOLOGY
MA
Enumeration date
07/24/2017
Last updated
07/24/2017
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