Broad Reach of Chatham Inc.
Organization Active NPI Speech-Language Pathologist · North Chatham, MA
NPI 1609077429 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609077429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0884 (MA)
- Legal business name
- BROAD REACH OF CHATHAM INC.
- Practice address
- 390 Orleans Rd
North Chatham, MA 02650-1154 - Phone
- (508) 945-4611
- Fax
- (508) 945-2245
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. William Bogdanovich, CNHA
- Title
- Director of Operations
- Phone
- (508) 945-4611
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Broad Reach of Chatham Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 0884 | MA | Yes |
Addresses
Primary practice location
390 Orleans Rd
North Chatham, MA 02650-1154
Mailing address
390 Orleans Rd
North Chatham, MA 02650-1154
Phone (508) 945-4611
Other names
- Broad Reach Outpatient Rehab.-SLP
Other providers in North Chatham, MA
- Madison Barany
- Mark Billard
- Broad Reach Hospice & Palliative Care LLC
- Broad Reach of Chatham Inc.
- Broad Reach of Chatham Inc.
- Mary J Brophy
- Kerri Michelle Burke
- Simone C Byrne
All providers in North Chatham, 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 22, 2020. 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.