Doctor Name: | ALICIA LYNNE DABEK |
NPI Number: | 1386026912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | S72144441 |
Business Practice Address: | 465 Waverley Oaks Rd Suite 101 Waltham, MA - 024528438 |
Business Phone Number: | 7818946564 |
Business Fax Number: | |
Mailing Address: | 1572 Commonwealth Ave Apt 101, BRIGHTON |
State: | MA |
Postal Code: | 021355023 |
Phone Number: | 8608175706 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2015 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S72144441 |
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 |