NPI 1255628632 · live from the CMS NPI Registry
Alma Del Mar Charter School
Speech-Language Pathologist, in New Bedford, MA. National Provider Identifier 1255628632, active.
NPI record
| NPI | 1255628632 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 26 Madeira Ave, New Bedford, MA 02746 |
| Practice phone | 508-542-7153 |
| Mailing address | 114 Front St, New Bedford, MA 02740 |
| Enumerated | July 6, 2011 |
| Last updated | July 6, 2011 |
| Authorized official | Will Gardner, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, School | 101YS0200X | — |
| Behavior Analyst | 103K00000X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.