Doctor Name: | CAROLINE LEGOR |
NPI Number: | 1881091338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 6550 |
Business Practice Address: | 18 Clifton St Malden, MA - 021482620 |
Business Phone Number: | 6174486290 |
Business Fax Number: | 6178300268 |
Mailing Address: | 18 Clifton St, MALDEN |
State: | MA |
Postal Code: | 021482620 |
Phone Number: | 6174486290 |
Fax Number: | 6178300268 |
NPI Enumeration Date: | 11/28/2014 |
NPI Last Update Date: | 11/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6550 |
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 |