Individual
MARC MAFFEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
115 GEORGIA AVE, PROVIDENCE, RI 02905-4422
(917) 617-8397
Mailing address
68 ROBINWOOD RD, DEDHAM, MA 02026-4533
(917) 617-8397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000
N/A
—
Enumeration date
01/25/2019
Last updated
01/25/2019
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