NPIMap

Puddingstone Place, LLC

Organization Active NPI Speech-Language Pathologist · Middleboro, MA

NPI 1477054419 · NPPES record last updated Mar 19, 2018

Key facts

NPI
1477054419
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
PUDDINGSTONE PLACE, LLC
Practice address
47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone
(774) 213-2362
NPI assigned
Feb 26, 2018
Organization subpart
No

Authorized official

Name
Paul Domenic Amato
Title
Accountant/ DO
Phone
(774) 213-2362

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

National Provider Directory

Locations

152 Sylvan St
Fl 2A
Danvers, MA 01923
Phone (603) 472-2846

152 Sylvan St
Ste 210
Danvers, MA 01923
Phone (774) 213-2357

47 E Grove St
Ste 102
Middleboro, MA 02346
Phone (774) 213-1032

20 Hope Ave
Ste 312
Waltham, MA 02453
Phone (617) 340-9161

20 Hope Ave
Ste 314
Waltham, MA 02453
Phone (774) 213-1032

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 103K00000X
Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 235Z00000X Yes

Addresses

Primary practice location

47 E Grove St Ste 102
Middleboro, MA 02346-1816

Mailing address

47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone (774) 213-2362

Other practice location 1

20 Hope Ave Ste 312
Waltham, MA 02453-2721
Phone (774) 213-1032

Other providers in Middleboro, MA

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

Sources for this page

Verify at the official NPI Registry.