| NPI | 1073244364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CLARK Speech Language Pathologist 617-699-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2022-06-18 |