Organization Name: | CENTRAL MASS SPEECH, LANGUAGE & BEHAVIOR SPECIALISTS, INC |
NPI Number: | 1750695490 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE DENISE HIGGINS (OWNER/PRESIDENT/SPEECH PATHOLOGIST) |
Mailing Address: | 383 Mower St Worcester |
State: | MA US |
Postal Code: | 016021026 |
Phone Number: | 5085232027 |
Fax Number: | 5084591685 |
NPI Enumeration Date: | 08/05/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12078116 |
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 |