Individual
KERRY AGNES COWNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
74 BRIDE STREET, NEWTON, MA 02458
(617) 969-4410
Mailing address
26 LANE PARK # 2, BRIGHTON, MA 02135-3118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8800
MA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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