Individual
SHERRI ELLEN LONCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
560 READ ST, SEEKONK, MA 02771-1413
(508) 336-6749
Mailing address
560 READ ST, SEEKONK, MA 02771-1413
(508) 336-6749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN982074250
BLUECROSS BLUESHIELD
MA
Enumeration date
04/20/2010
Last updated
04/20/2010
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