Doctor Name: | MS. JUDITH FAYE WISNIA |
NPI Number: | 1396844783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 1553 |
Business Practice Address: | 111 S Bedford St Suite 102 Burlington, MA - 018035145 |
Business Phone Number: | 7812722100 |
Business Fax Number: | 7812720404 |
Mailing Address: | 111 S Bedford St, Suite 102 BURLINGTON |
State: | MA |
Postal Code: | 018035145 |
Phone Number: | 7812722100 |
Fax Number: | 7812720404 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1553 |
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 |