Individual
ELIZABETH TURNBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2263
(774) 442-2270
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9367
MA
235Z00000X
Speech-Language Pathologist
SP00269-P
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SR21880
—
RI
Enumeration date
12/04/2013
Last updated
04/28/2017
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