Individual
DEIRDRE CLAIRE MULCAHY PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
7 BIRCH WOODS DR, BEVERLY, MA 01915-3854
(978) 922-5960
Mailing address
7 BIRCH WOODS DR, BEVERLY, MA 01915-3854
(978) 922-5960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3017
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01074862
ASHA
—
01
—
15581
NDTA
—
01
—
3017
STATE LICENSE
MA
01
—
SP0057
BCBS
—
Enumeration date
06/27/2007
Last updated
07/08/2007
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