Individual
JO CYR-MUTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
271 PINE NOOK RD., DEERFIELD, MA 01342
(413) 772-9335
Mailing address
PO BOX 183, DEERFIELD, MA 01342-0183
(413) 772-9335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1715-W
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01086316
ASHA
—
01
—
1715-W
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE SPEECH-LANGUAGE
MA
Enumeration date
11/21/2008
Last updated
11/21/2008
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