Organization
CHILDREN'S LANGUAGE DEVELOPMENT CENTER LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE PHAIR CCC-SLP (OWNER)
(703) 310-8048
Entity
Organization
Contact information
Practice address
19 MUZZEY ST STE 309A, LEXINGTON, MA 02421-5211
(703) 310-8048
Mailing address
19 MUZZEY ST STE 309A, LEXINGTON, MA 02421-5211
(703) 310-8048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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