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NPI Code Detail

MEDICARE: CHRISTINA GURNEY MAHON MS, CCC-SLP

MEDICARE:   CHRISTINA GURNEY MAHON  MS, 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 Pathologist5617MA

General Provider Information

NPI Number : 1518134493
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA GURNEY MAHON MS, CCC-SLP
Provider Business Mailing Address
First Line : 22 SHERIDAN ST
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-1837
Country : US
Telephone Number : 617-413-8202
Fax Number :
Provider Business Practice Location Address
First Line : 22 SHERIDAN ST
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-1837
Country : US
Telephone Number : 617-413-8202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2008
Last Update Date : 09/30/2014

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Directions to “ CHRISTINA GURNEY MAHON MS, CCC-SLP” Practice Location

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