MEDICARE: LORRAINE ADAIR BOOK PH.D.

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
1	235Z00000X	Speech-Language Pathologist	3918	MA

General Provider Information

NPI Number	:	1912205543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE ADAIR BOOK PH.D.

Provider Business Mailing Address
First Line	:	30 LEON ST
Second Line	:	505L BEHRAKIS HEALTH SCIENCES CENTER
City	:	BOSTON
State	:	MA
Zip	:	02115-5009
Country	:	US
Telephone Number	:	617-373-7577
Fax Number	:	617-373-8756

Provider Business Practice Location Address
First Line	:	30 LEON ST
Second Line	:	505L BEHRAKIS HEALTH SCIENCES CENTER
City	:	BOSTON
State	:	MA
Zip	:	02115-5009
Country	:	US
Telephone Number	:	617-373-7577
Fax Number	:	617-373-8756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	03/07/2011

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Directions to “ LORRAINE ADAIR BOOK PH.D.” Practice Location

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