Healthcare Provider Details

I. General information

NPI: 1932800216
Provider Name (Legal Business Name): WOLFF SPEECH LANGUAGE & FEEDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 WATERVIEW DR
MEDWAY MA
02053-1662
US

IV. Provider business mailing address

11 WATERVIEW DR
MEDWAY MA
02053-1662
US

V. Phone/Fax

Practice location:
  • Phone: 774-277-0675
  • Fax:
Mailing address:
  • Phone: 774-277-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HEATHER WOLFF
Title or Position: OWNER, SPEECH LANGUAGE PATHOLOGIST
Credential: M.A., CCC-SLP
Phone: 774-277-0675