Individual
LISA M ROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Mailing address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3746
MA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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