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NPI Code Detail

MEDICARE: CORINNE EILEEN ANDRADE M.ED

MEDICARE:   CORINNE EILEEN ANDRADE  M.ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA 10239FL
2235Z00000XSpeech-Language PathologistSP01106RI
3235Z00000XSpeech-Language Pathologist8389MA

General Provider Information

NPI Number : 1134379936
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE EILEEN ANDRADE M.ED
Provider Business Mailing Address
First Line : 200 MILL RD STE 180
Second Line :
City : FAIRHAVEN
State : MA
Zip : 02719-5255
Country : US
Telephone Number : 508-973-2000
Fax Number : 508-973-2001
Provider Business Practice Location Address
First Line : 299 FAUNCE CORNER RD
Second Line :
City : DARTMOUTH
State : MA
Zip : 02747-6244
Country : US
Telephone Number : 508-995-0700
Fax Number : 508-973-1355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 04/20/2020

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Directions to “ CORINNE EILEEN ANDRADE M.ED” Practice Location

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