Doctor Name: | MS. RAE ANN SOMERVILLE |
NPI Number: | 1215237854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 3235 |
Business Practice Address: | 193 Oak St Newton, MA - 024641457 |
Business Phone Number: | 1617658560 |
Business Fax Number: | |
Mailing Address: | 1412 Sheffield Way, SAUGUS |
State: | MA |
Postal Code: | 019064415 |
Phone Number: | 1781248904 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3235 |
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 |