Individual
TERRI LOEWENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5667
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5102855
MASS HEALTH
—
01
—
63412
CHILDRENS MEDICAL SECURIT
—
01
—
AD0067
BS BLUECARE ELECT
—
Enumeration date
06/28/2005
Last updated
07/08/2007
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