| NPI | 1326531880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA COSTELLO Speech Language Pathologist 508-523-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 8819) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2024-08-15 |