| NPI | 1114539053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYNNE BENOIT Speech Language Pathologist 774-406-0799 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |