| Organization Name: | CHILD DEVELOPMENT NETWORK, LLC |
| NPI Number: | 1023202389 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANINE KORAHAIS STASIOR (OWNER) |
| Mailing Address: | 76 Bedford St Ste 12 Lexington |
| State: | MA US |
| Postal Code: | 024204640 |
| Phone Number: | 7818616655 |
| Fax Number: | 7818616654 |
| NPI Enumeration Date: | 08/30/2007 |
| NPI Last Update Date: | 08/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 6645 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| 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 |