Individual
MS. ASTRID C CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
175 BEDFORD STREET, LEXINGTON, MA 02420
(781) 862-3411
(781) 862-3422
Mailing address
175 BEDFORD STREET, LEXINGTON, MA 02420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3536
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0130
BCBS
MA
Enumeration date
01/26/2007
Last updated
09/13/2010
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