Organization
BEACON THERAPIES LLC
Active
Other names
Beacon Therapies Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN MARTHA RODRIGUEZ MS CCC-SLP (MANAGER)
(617) 512-4139
Entity
Organization
Contact information
Practice address
1051 BEACON ST, SUITE 511, BROOKLINE, MA 02446-5685
(617) 512-4139
Mailing address
1051 BEACON ST, SUITE 511, BROOKLINE, MA 02446-5685
(617) 512-4139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4340
MA
Other
Enumeration date
01/13/2015
Last updated
05/10/2023
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