Healthcare Provider Details

I. General information

NPI: 1073281341
Provider Name (Legal Business Name): LILY RACHEL SLOSKY CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LILY FEINBERG

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1269 MAIN ST
CONCORD MA
01742-3099
US

IV. Provider business mailing address

1269 MAIN ST
CONCORD MA
01742-3099
US

V. Phone/Fax

Practice location:
  • Phone: 978-287-7800
  • Fax:
Mailing address:
  • Phone: 978-287-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP78571
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: