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General NPI Number Information
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NPI Number | 1659988475
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Entity Type | Organization
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Legal Business Name | CENTRAL SPEECH THERAPY
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 10/04/2020
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Provider Practice Location Address
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Address Line | 285 CENTRAL ST STE 217B
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City | LEOMINSTER
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State | MA
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Zip | 01453-6144
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Country | US
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Telephone | 978-212-9616
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Fax | 978-849-8393
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Provider Business Mailing Address
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Address Line | 285 CENTRAL ST STE 217B
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City | LEOMINSTER
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State | MA
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Zip | 01453-6144
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Country | US
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Telephone | 978-212-9616
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Fax | 978-849-8393
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Authorized Official
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Title or Position | DIRECTOR/OWNER, SPEECH THERAPIST
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Name | ALISSA RYAN
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Credential | MS, CCC-SLP
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Telephone | 978-212-9616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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