Organization Name: | PEDIATRIC SPEECH LANGUAGE SERVICES |
NPI Number: | 1235357153 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY H. FITZMARTIN (SPEECH PATHOLOGIST) |
Mailing Address: | 65 Athelstane Rd Newton |
State: | MA US |
Postal Code: | 024592422 |
Phone Number: | 6179690121 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 451-SL |
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 |