| NPI | 1194248393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN LEWIS Owner/Speech Language Pathologist 617-600-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76512) |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |