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 |