| NPI | 1568731180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN STEVENS Speech Pathologist 617-797-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 6248) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |