NPI 1174180210 · live from the CMS NPI Registry
Beverly School For The Deaf
Speech-Language Pathologist, in Beverly, MA. National Provider Identifier 1174180210, active.
NPI record
| NPI | 1174180210 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 6 Echo Ave, Beverly, MA 01915 |
| Practice phone | 978-927-7070 |
| Enumerated | May 23, 2019 |
| Last updated | May 23, 2019 |
| Authorized official | Mark Carlson, Ceo |
| Other names | The Childrens Center For Communication |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Behavior Analyst | 103K00000X | — |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.