Organization
PRIMARY SPEECH THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON J PROVOST (PRESIDENT)
(617) 538-4264
Entity
Organization
Contact information
Practice address
863 WINTER ST, HANSON, MA 02341-1109
(617) 538-4264
Mailing address
863 WINTER ST, HANSON, MA 02341-1109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5477
MA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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