Active NPI
Christine Marie Souza, MS CCC-SLP
- Speech-Language Pathologist
- Middleboro, MA
National Provider Identifier
1730361155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4091
- Practice address
- 105 E Grove St
Middleboro, MA 02346-2743 - Phone
- (508) 947-8591
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4091 | MA | Primary |
Addresses
Primary practice location
105 E Grove St
Middleboro, MA 02346-2743
Mailing address
18 Ricketson St
N Dartmouth, MA 02747-2617
Phone (508) 990-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1730361155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 RICKETSON ST",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027472617",
"telephone_number": "508-990-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E GROVE ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462743",
"telephone_number": "508-947-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "4091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.