Ccc Speech & Language Partners P LLC
Speech-Language Pathologist, in Fall River, MA. Organization (NPI-2).
NPI number1841975109
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1841975109
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccc Speech & Language Partners P LLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2023
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
55 N Main St Ste 102Fall River, MA 02720-2121
Phone 508-536-5599 · Fax 508-596-5534
Mailing address
17 Plaza Way # 1018Fairhaven, MA 02719-4601
Phone 508-536-5599 · Fax 508-536-5534
Authorized official
Kristin L Andrade
Manager/Therapist
5085365599
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