Individual
MRS. REBECCA BRENNER MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
65 BLAKE ST, NEEDHAM, MA 02492-2204
(617) 957-5100
Mailing address
65 BLAKE ST, NEEDHAM, MA 02492-2204
(617) 957-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8560-SL
MA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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