Individual
MS. LINA SKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
THOM CHILD & FAMILY SERVICES, 555 ARMORY ST, JAMAICA PLAIN, MA 02130
(617) 383-6522
Mailing address
38 EUSTON RD, BRIGHTON, MA 02135-4805
(718) 610-9353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77125-SP-SL
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14181776
ASHA
—
01
—
77125-SP-SL
MASSACHUSETTS STATE LICENSURE OF SPEECH & LANGUAGE
MA
Enumeration date
01/31/2019
Last updated
01/31/2019
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