Doctor Name: | MS. SANDRA RENEE HINES |
NPI Number: | 1174788673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC/SLP |
License Number: | 3374 |
Business Practice Address: | 555 Amory St Jamaica Plain, MA - 021302652 |
Business Phone Number: | 6173836522 |
Business Fax Number: | |
Mailing Address: | 108 Pacella Park Dr, RANDOLPH |
State: | MA |
Postal Code: | 023681766 |
Phone Number: | 7819638080 |
Fax Number: | 7814378115 |
NPI Enumeration Date: | 07/23/2008 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3374 |
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 |