| Doctor Name: | REBECCA MARGARET THERRIAULT |
| NPI Number: | 1386893329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CF-SLP |
| License Number: | |
| Business Practice Address: | 30 Warren Street Brighton, MA - 02135 |
| Business Phone Number: | 6172543800 |
| Business Fax Number: | |
| Mailing Address: | 111 Jersey Street, Apt. 21b, BOSTON |
| State: | MA |
| Postal Code: | 02215 |
| Phone Number: | 5186692139 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2008 |
| NPI Last Update Date: | 09/15/2008 |
| 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 |