| Doctor Name: | MISS TRACY E BAZEGIAN |
| NPI Number: | 1114131299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 4841 |
| Business Practice Address: | 736 Cambridge St Hoq-ground Floor, Rehab Services Boston, MA - 021352907 |
| Business Phone Number: | 6175627735 |
| Business Fax Number: | 6175627115 |
| Mailing Address: | 425 Main St, Unit 12d HUDSON |
| State: | MA |
| Postal Code: | 017491840 |
| Phone Number: | 9785625085 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4841 |
| 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 |