Organization Name: | INTEGRATED LEARNING ACADEMY NEWTON |
NPI Number: | 1376989996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIELA VARGAS (EXECUTIVE DIRECTOR) |
Mailing Address: | 109 Oak St Ste G-10 Newton |
State: | MA US |
Postal Code: | 024641492 |
Phone Number: | 6174674523 |
Fax Number: | 6179165081 |
NPI Enumeration Date: | 05/22/2013 |
NPI Last Update Date: | 05/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7986 |
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 |