Healthcare Provider Details

I. General information

NPI: 1942111711
Provider Name (Legal Business Name): LISA FRANCES SLATTERY SPEECH/LANGUAGE PATH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BRENTWOOD RD
CHELMSFORD MA
01824-1348
US

IV. Provider business mailing address

41 BRENTWOOD RD
CHELMSFORD MA
01824-1348
US

V. Phone/Fax

Practice location:
  • Phone: 978-761-7438
  • Fax:
Mailing address:
  • Phone: 978-761-7438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP5011
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: