Individual
DEBORAH KUBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
400 HILLSIDE AVE STE 1, NEEDHAM, MA 02494-1226
(781) 449-8156
Mailing address
14 LYNN RD, NEEDHAM, MA 02494-1754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1779
MA
235Z00000X
Speech-Language Pathologist
237420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA407
HPHC
—
01
—
SP0096
BCBS
MA
Enumeration date
02/12/2007
Last updated
07/08/2007
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