Doctor Name: | MRS. MARY LORRAINE BRESNAHAN- NOYES |
NPI Number: | 1306047386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. C.C.C. |
License Number: | 2984 |
Business Practice Address: | 77 Groveland Ave South Weymouth, MA - 021903116 |
Business Phone Number: | 7816827971 |
Business Fax Number: | |
Mailing Address: | 77 Groveland Avenue, SOUTH WEYMOUTH |
State: | MA |
Postal Code: | 021901818 |
Phone Number: | 7816827971 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2984 |
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 |