Individual
LISA M. O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
209 ROOT RD, WESTFIELD, MA 01085-9832
(413) 568-3942
(413) 568-5983
Mailing address
209 ROOT RD, WESTFIELD, MA 01085-9832
(413) 568-3942
(413) 568-5983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5332
MA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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