Individual
MARIA ELLEN COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC
Contact information
Practice address
264 MASSACHUSETTS AVE, UNIT 106, ARLINGTON, MA 02474-8450
(781) 316-2919
Mailing address
264 MASSACHUSETTS AVE, UNIT 106, ARLINGTON, MA 02474-8450
(781) 316-2919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
275
MA
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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