Individual
BETSY C MICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
120 BOYLSTON ST, EMERSON COLLEGE, BOSTON, MA 02116-4624
(617) 824-8313
(617) 824-8733
Mailing address
91 ACORN ST, MILLIS, MA 02054-1410
(508) 376-4488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
964
MA
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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