Doctor Name: | STEPHANIE CARROLL |
NPI Number: | 1497175137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 8798 |
Business Practice Address: | 255 Central Ave Chelsea, MA - 021503508 |
Business Phone Number: | 6178845700 |
Business Fax Number: | |
Mailing Address: | 28 Marney St, Apt 1 CAMBRIDGE |
State: | MA |
Postal Code: | 021411410 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8798 |
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 |