Individual
MRS. KRYSTAL PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
95 COMMERCIAL ST, BRAINTREE, MA 02184-4301
(201) 317-4529
Mailing address
10 DALE AVE, QUINCY, MA 02169-7916
(201) 317-4529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00582400
NJ
235Z00000X
Speech-Language Pathologist
Primary
7641
MA
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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