MARY BETH HETHERTON

SOMERVILLE, MA
NPI1427028976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  3243)
Enumeration Date2006-01-26
Last Update Date2007-08-27
Business Address
-- MARY BETH HETHERTON CCC-SLP
40 HOLLAND ST
SOMERVILLE, MA 02144-2705
Phone number: 617-629-6220
Mailing Address
-- MARY BETH HETHERTON CCC-SLP
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051