Organization Name: | NORTHEAST ENT, INC |
NPI Number: | 1154503951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA J MOTTA (ADMINISTRATOR) |
Mailing Address: | 300a Faunce Corner Rd Suite 102 N Dartmouth |
State: | MA US |
Postal Code: | 027471280 |
Phone Number: | 5089950700 |
Fax Number: | 5089953070 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4517 |
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 |