Organization
CHILDREN'S COMMUNICATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE FISHER (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(413) 313-5461
Entity
Organization
Contact information
Practice address
171 DWIGHT RD STE 300, LONGMEADOW, MA 01106-1768
(413) 313-5461
Mailing address
171 DWIGHT RD STE 300, LONGMEADOW, MA 01106-1768
(413) 313-5461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6108
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000SP0389
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/06/2017
Last updated
07/21/2022
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