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NPI Code Detail

MEDICARE: MARY ELIZABETH BORSARI M.S. CCC-SLP

MEDICARE:   MARY ELIZABETH BORSARI  M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist1826MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AA40864OTHERMAHARVARD PILGRIM HEALTH CA
31826OTHERMALICENSE
4SP0168OTHERMABLUE CROSS BLUE SHIELD
501032198OTHERASHA

General Provider Information

NPI Number : 1447303425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH BORSARI M.S. CCC-SLP
Provider Business Mailing Address
First Line : 369 SEEKELL ST
Second Line :
City : EAST TAUNTON
State : MA
Zip : 02718-1417
Country : US
Telephone Number : 508-822-4526
Fax Number :
Provider Business Practice Location Address
First Line : 369 SEEKELL ST
Second Line :
City : EAST TAUNTON
State : MA
Zip : 02718-1417
Country : US
Telephone Number : 508-822-4526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2007
Last Update Date : 07/08/2007

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Directions to “ MARY ELIZABETH BORSARI M.S. CCC-SLP” Practice Location

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