Individual
ASHLEY CHRISTA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
68 HARVARD ST, BROOKLINE, MA 02445-7991
(888) 828-4114
Mailing address
46 ENGLEWOOD AVE APT 17, BRIGHTON, MA 02135-7860
(603) 960-0580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77364-SP-SL
MA
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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