| NPI | 1912437633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SULLIVAN Speech Language Pathologist 774-318-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: MA 5734) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-05-08 |