Doctor Name: | LYNNE BRANT |
NPI Number: | 1568609758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | 142SL |
Business Practice Address: | 801 Main St Ste 4 Concord, MA - 017423313 |
Business Phone Number: | 9783691511 |
Business Fax Number: | 9783718986 |
Mailing Address: | 801 Main St Ste 4, CONCORD |
State: | MA |
Postal Code: | 017423313 |
Phone Number: | 9783691511 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2009 |
NPI Last Update Date: | 01/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 142SL |
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 |