MEDICARE: ANGELA MARIE ROBICHAUD CCC-SLP

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	77473	MA

General Provider Information

NPI Number	:	1952949315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE ROBICHAUD CCC-SLP

Provider Business Mailing Address
First Line	:	222 BROOKS ST APT 324
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01606-3334
Country	:	US
Telephone Number	:	978-590-9042
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 BOSTON TPKE STE 3
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-3396
Country	:	US
Telephone Number	:	617-996-1260
Fax Number	:

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

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	12/26/2024

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Directions to “ ANGELA MARIE ROBICHAUD CCC-SLP” Practice Location

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