Individual
KATHLEEN DEVLIN-DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 NORWAY ST, LONGMEADOW, MA 01106-3143
(413) 567-0374
(413) 567-8808
Mailing address
32 NORWAY ST, LONGMEADOW, MA 01106-3143
(413) 567-0374
(413) 567-8808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2382
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0309711
MASSHEALTH
MA
Enumeration date
10/23/2007
Last updated
10/23/2007
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