| NPI | 1942270574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA G. MARKS Director 508-359-8158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-10-19 |