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NPI Code Detail

MEDICARE: COLLEEN COMPERCHIO CCC-SLP

MEDICARE: COLLEEN COMPERCHIO 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 Pathologist78673MA

General Provider Information

NPI Number : 1477267052
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN COMPERCHIO CCC-SLP
Provider Business Mailing Address
First Line : 10 ROXANNE RD
Second Line :
City : GROTON
State : MA
Zip : 01450-1546
Country : US
Telephone Number : 719-369-8758
Fax Number :
Provider Business Practice Location Address
First Line : 14-16 FLETCHER ST STE 1
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2713
Country : US
Telephone Number : 978-212-9626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2023
Last Update Date : 01/09/2023

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Directions to “ COLLEEN COMPERCHIO CCC-SLP” Practice Location

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