Emily Noland, M.S, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Northborough, MA

NPI 1083979447 · NPPES record last updated Jul 11, 2012

Key facts

NPI
1083979447
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7762 (MA)
Practice address
107 Otis St
Northborough, MA 01532-2459
Phone
(508) 898-2688
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7762MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Family Wellness Center Inc Past Accepting new patients
Barrett Family Wellness Center Inc. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7762 MA Yes

Addresses

Primary practice location

107 Otis St
Northborough, MA 01532-2459

Mailing address

107 Otis St
Northborough, MA 01532-2459
Phone (508) 898-2688

Other providers in Northborough, MA

All providers in Northborough, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.