Individual
KRISTIN DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CUMMINGS CTR STE 350G, BEVERLY, MA 01915-6136
(978) 712-0003
(866) 258-7586
Mailing address
8 MAPLEWOOD AVE, WARWICK, RI 02889-2717
(401) 525-6483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78536-SP-SL
MA
235Z00000X
Speech-Language Pathologist
SP01729
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78536-SP-SL
SLP LICENSE
MA
Enumeration date
07/19/2022
Last updated
10/21/2022
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