Individual
MS. ELLEN GAIL FORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. - CCC-SLP
Contact information
Practice address
333 NAHUNTON STREET, NEWTON, MA 02459
(617) 620-9010
(617) 517-9160
Mailing address
333 NAHUNTON STREET, NEWTON, MA 02459
(617) 620-9010
(617) 517-9160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
468
MA
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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