Individual
MRS. GERALDINE VERONICA THISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
28 NATHAN LANE, PLYMOUTH, MA 02360
(508) 663-8890
Mailing address
28 NATHAN LANE, PLYMOUTH, MA 02360
(508) 663-8890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6468
MA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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