| NPI | 1568736189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MAXSON Executive Director / Ot 781-821-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7194) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |