Sara Costello, MA CCC-SLP
Speech-Language Pathologist, in Boston, MA. Individual provider (NPI-1).
NPI number1770017980
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1770017980
- Entity type
- Individual (NPI-1)
- Name
- Sara Costello
- Credential
- MA CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2017
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 8819 | MA | Yes |
Practice location
315 A StBoston, MA 02210-1644
Phone 508-523-2827
Mailing address
315 A StBoston, MA 02210-1644
Phone 508-523-2827
Other practice locations
299 K St Apt 1
South Boston, MA 02127-8829
South Boston, MA 02127-8829
Phone 781-832-0089
399 Congress St Apt 731
Boston, MA 02210-2579
Boston, MA 02210-2579
Phone 508-523-2827
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