Individual
MRS. MARJORIE Q. MCGILLICUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5 N MEADOWS RD, SLP ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Mailing address
5 N MEADOWS RD, SLP ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
881
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3668706
AETNA GROUP
MA
01
—
620733
TUFTS GROUP
MA
01
—
626557
HPHC SPEECH GROUP
MA
01
—
SG0013
BCBS SPEECH GROUP
MA
Enumeration date
02/05/2007
Last updated
07/08/2007
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