Individual
MS. SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 CUMMINGS CTR STE 135H, BEVERLY, MA 01915-6127
(978) 927-0172
Mailing address
100 CUMMINGS CTR STE 135H, BEVERLY, MA 01915-6127
(978) 927-0172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447289103
NPI
MA
Enumeration date
09/13/2021
Last updated
09/13/2021
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