Individual
MS. JORDAN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
188 NEEDHAM ST, NEWTON, MA 02464-1596
(617) 969-6209
(617) 969-6212
Mailing address
188 NEEDHAM ST, NEWTON, MA 02464-1596
(617) 969-6209
(617) 969-6212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8638-SL
MA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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