| NPI | 1366986093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN DORMER Owner 978-790-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 5930) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |