| Organization Name: | BROAD REACH OF CHATHAM INC. |
| NPI Number: | 1609077429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM BOGDANOVICH (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 390 Orleans Rd North Chatham |
| State: | MA US |
| Postal Code: | 026501154 |
| Phone Number: | 5089454611 |
| Fax Number: | 5089452245 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0884 |
| 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 |