Individual
SHANE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 MASSACHUSETTS AVE, DEDHAM, MA 02026-7005
(781) 686-0637
Mailing address
223 JEFFERSON ST, DEDHAM, MA 02026-5007
(781) 686-0637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP78075
MA
Other
Enumeration date
08/04/2020
Last updated
03/21/2024
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