Doctor Name: | MS. ELIZABETH JANE PEDERSEN |
NPI Number: | 1124308457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC-SLP |
License Number: | 5515 |
Business Practice Address: | 3 Winthrop Rd Hingham, MA - 020433532 |
Business Phone Number: | 7817497966 |
Business Fax Number: | |
Mailing Address: | 3 Winthrop Rd, HINGHAM |
State: | MA |
Postal Code: | 020433532 |
Phone Number: | 7817497966 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2011 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5515 |
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 |