Doctor Name: | TRACY CARON |
NPI Number: | 1033372446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 7259 |
Business Practice Address: | 10j Gill St Woburn, MA - 018011721 |
Business Phone Number: | 7819322888 |
Business Fax Number: | |
Mailing Address: | 21 Dickinson Rd, BRIGHTON |
State: | MA |
Postal Code: | 021353006 |
Phone Number: | 9782734261 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |