| NPI | 1578000725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIL BOUCHER Speech Language Pathologist 413-586-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7921) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |