Healthcare Provider Details

I. General information

NPI: 1295647733
Provider Name (Legal Business Name): ISABEL ROYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ATHERTON ST
SOMERVILLE MA
02143-2558
US

IV. Provider business mailing address

60 ATHERTON ST
SOMERVILLE MA
02143-2558
US

V. Phone/Fax

Practice location:
  • Phone: 339-223-4188
  • Fax:
Mailing address:
  • Phone: 339-223-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP101399
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: