Healthcare Provider Details

I. General information

NPI: 1013757616
Provider Name (Legal Business Name): BRIANNA ABBAS MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 FAUNCE CORNER MALL RD UNIT 120
DARTMOUTH MA
02747-6212
US

IV. Provider business mailing address

92 FAUNCE CORNER MALL RD UNIT 120
DARTMOUTH MA
02747-6212
US

V. Phone/Fax

Practice location:
  • Phone: 774-201-0821
  • Fax: 774-762-1846
Mailing address:
  • Phone: 774-528-3516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP96239
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: