Individual
CALLIE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 CHESTNUT ST STE 102, FOXBORO, MA 02035-1462
(508) 698-7973
Mailing address
16 CHESTNUT ST STE 102, FOXBORO, MA 02035-1462
(508) 698-7973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP10042
MA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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