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NPI Code Detail

MEDICARE: MACKENZIE OSBORN

MEDICARE:   MACKENZIE  OSBORN
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 PathologistMA

General Provider Information

NPI Number : 1568075661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE OSBORN
Provider Business Mailing Address
First Line : 9 ISABEL CIR
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-8101
Country : US
Telephone Number : 978-320-0580
Fax Number :
Provider Business Practice Location Address
First Line : 165 CRAWFORD ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-2340
Country : US
Telephone Number : 978-975-5970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 05/11/2026

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Directions to “ MACKENZIE OSBORN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.