Doctor Name: | MRS. MICHELE EVE NORCROSS |
NPI Number: | 1003195587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP, CEIS |
License Number: | |
Business Practice Address: | 25 Willow St West Roxbury, MA - 021321537 |
Business Phone Number: | 6174693080 |
Business Fax Number: | 6174693085 |
Mailing Address: | 74 Bridge St, Ota The Koomar Center NEWTON |
State: | MA |
Postal Code: | 024581147 |
Phone Number: | 6179694410 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |