Doctor Name: | MS. JULIA CONCANNON |
NPI Number: | 1487731915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 2150 |
Business Practice Address: | 5 N Meadows Rd Slp Associates, Pc Medfield, MA - 020522317 |
Business Phone Number: | 5083594532 |
Business Fax Number: | 5083590198 |
Mailing Address: | 5 N Meadows Rd, Slp Associates, Pc MEDFIELD |
State: | MA |
Postal Code: | 020522317 |
Phone Number: | 5083594532 |
Fax Number: | 5083590198 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2150 |
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 |