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NPI Code Detail

MEDICARE: JACQUELINE STOFFLET SPEECH LANGUAGE PATH

MEDICARE:   JACQUELINE  STOFFLET  SPEECH LANGUAGE PATH
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 Pathologist7651MA

General Provider Information

NPI Number : 1619614435
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE STOFFLET SPEECH LANGUAGE PATH
Provider Business Mailing Address
First Line : 49 PARK ST
Second Line :
City : DANVERS
State : MA
Zip : 01923-3247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 49 PARK ST
Second Line :
City : DANVERS
State : MA
Zip : 01923-3247
Country : US
Telephone Number : 617-594-1696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2022
Last Update Date : 05/13/2022

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Directions to “ JACQUELINE STOFFLET SPEECH LANGUAGE PATH” 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.