Individual
MRS. LISA M SAMIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0556
Mailing address
1385 TRAPELO RD, WALTHAM, MA 02451-2215
(781) 894-7491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4028
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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