Individual
MICHAELA FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PHOENIX AVE, LOWELL, MA 01852-4931
(978) 453-8331
Mailing address
254 COLBURN AVE, DRACUT, MA 01826-2506
(978) 866-1580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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