Organization
CARLISLE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A. S. BENJAMIN (OWNER)
(401) 743-8262
Entity
Organization
Contact information
Practice address
3 FOREST PARK DR, CARLISLE, MA 01741-1016
(401) 743-8262
Mailing address
3 FOREST PARK DR, CARLISLE, MA 01741-1016
(401) 743-8262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164650503
SPEECH-LANGUAGE PATHOLOGIST
MA
Enumeration date
03/17/2021
Last updated
03/17/2021
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