Doctor Name: | MRS. JANIS GREIM HUDSON |
NPI Number: | 1184941817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SL009843 |
Business Practice Address: | 230 Highland Ave Somerville, MA - 021431408 |
Business Phone Number: | 6175914510 |
Business Fax Number: | |
Mailing Address: | 230 Highland Ave, 2nd Floor SOMERVILLE |
State: | MA |
Postal Code: | 021431408 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009843 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
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 |