Judy Denault, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Sterling, MA
NPI 1487935896 · NPPES record last updated Aug 31, 2011
Key facts
- NPI
- 1487935896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3770 (MA)
- Practice address
- 1 Beverly Dr
Sterling, MA 01564-2149 - Phone
- (978) 422-0200
- NPI assigned
- Aug 31, 2011
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3770 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3770 | MA | Yes |
Addresses
Primary practice location
1 Beverly Dr
Sterling, MA 01564-2149
Mailing address
1 Beverly Dr
Sterling, MA 01564-2149
Phone (978) 422-0200
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- Tomas S Domecillo
- Michael J Falcone
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All providers in Sterling, MA · Speech-Language Pathologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.