Doctor Name: | MELISSA ANN BROGAN |
NPI Number: | 1255604625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 221 Boston Post Rd E Suite 150 Marlborough, MA - 017523527 |
Business Phone Number: | 5086240304 |
Business Fax Number: | 5086240391 |
Mailing Address: | 3 Crestwood Ln, MARLBOROUGH |
State: | MA |
Postal Code: | 017521410 |
Phone Number: | 7742499873 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2012 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |