Brooke Desmarais

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

NPI 1124990510 · NPPES record last updated Sep 23, 2025

Key facts

NPI
1124990510
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
PSLP10070 (MA)
Practice address
455 Brayton Ave
Somerset, MA 02726-2642
Phone
(508) 679-2240
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PSLP10070MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PSLP10070 MA Yes

Addresses

Primary practice location

455 Brayton Ave
Somerset, MA 02726-2642

Mailing address

455 Brayton Ave
Somerset, MA 02726-2642

Other providers in Somerset, MA

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

Sources for this page

Verify at the official NPI Registry.