Doctor Name: | MRS. HEATHER E SAGE |
NPI Number: | 1164612438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 6385 |
Business Practice Address: | 51 Maple St #121 Rockland, MA - 023702346 |
Business Phone Number: | 6178403396 |
Business Fax Number: | |
Mailing Address: | 51 Maple St, #121 ROCKLAND |
State: | MA |
Postal Code: | 023702346 |
Phone Number: | 6178403396 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2007 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6385 |
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 |