Individual
JANE DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
Mailing address
66 MAYFLOWER RD, SPRINGFIELD, MA 01118-1407
(413) 782-6677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3180
MA
Other
Enumeration date
11/26/2006
Last updated
07/08/2007
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