Healthcare Provider Details
I. General information
NPI: 1992862940
Provider Name (Legal Business Name): CHILDREN'S SPEECH & FEEDING THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 WEST ST
NEEDHAM MA
02494-1319
US
IV. Provider business mailing address
150 WEST ST
NEEDHAM MA
02494-1319
US
V. Phone/Fax
- Phone: 781-726-6209
- Fax: 781-726-6212
- Phone: 781-726-6209
- Fax: 781-726-6212
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ARDEN
HILL
Title or Position: PRESIDENT SPEECH PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 781-726-6209