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Stacie Ann Hoban, MS, CCC-SLP

Speech-Language Pathologist, in Revere, MA. Individual provider (NPI-1).

NPI number1003000456
StatusActive
Last updated in NPPESAug 29, 2007

Details

NPI
1003000456
Entity type
Individual (NPI-1)
Name
Ms. Stacie Ann Hoban
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2007
Last updated
Aug 29, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,6638MAYes

Practice location

300 Ocean Ave
Speech And Language
Revere, MA 02151-3675

Phone 781-485-6131

Mailing address

300 Ocean Ave
Speech And Language
Revere, MA 02151-3675

Phone 781-485-6131

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