Individual
TIMOTHY CARLTON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 PILGRIM RD # SPAN106, BOSTON, MA 02215-5324
(860) 681-4163
Mailing address
80 REVERE ST APT 4, BOSTON, MA 02114-4419
(860) 681-4163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP100570
MA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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