| Doctor Name: | MS. BEVERLY MARA BLATT |
| NPI Number: | 1114038239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC SLP |
| License Number: | 2556 |
| Business Practice Address: | 243 King St Suite 242 Northampton, MA - 010602451 |
| Business Phone Number: | 4135840265 |
| Business Fax Number: | 4135842031 |
| Mailing Address: | 20 W Parsons Ln, FLORENCE |
| State: | MA |
| Postal Code: | 010623668 |
| Phone Number: | 4135863039 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2556 |
| 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 |