Individual
MRS. ARIEL ROSE THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
593 SOMERVILLE AVE UNIT 1, SOMERVILLE, MA 02143-3274
(215) 206-6566
Mailing address
593 SOMERVILLE AVE UNIT 1, SOMERVILLE, MA 02143-3274
(215) 206-6566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1701388
NY
235Z00000X
Speech-Language Pathologist
31963
CA
235Z00000X
Speech-Language Pathologist
Primary
76882
MA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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