Doctor Name: | MARIE CLAIRE CHAN |
NPI Number: | 1851451330 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 6923 |
Business Practice Address: | 1250 Hancock St Quincy, MA - 021694339 |
Business Phone Number: | 6177740600 |
Business Fax Number: | 6177740211 |
Mailing Address: | 147 Milk St, Provider Enrollment - 9th Floor BOSTON |
State: | MA |
Postal Code: | 021094806 |
Phone Number: | 6175598053 |
Fax Number: | 6174213487 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6923 |
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 |