Thomas Russell Coleman MA CCC-SLP

NPI 1215129457 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1215129457
Gender Male
Enumeration Date 08/12/2007
Last Updated 08/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3 BURLINGTON WOODS
SUITE 304
BURLINGTON MA, 01803-4514, US
Phone (781) 270-0222
Fax (781) 270-5005
Business Location
338 MAIN ST
MEDFORD MA, 02155-6158, US
Phone (781) 391-1159
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Massachusetts
License Number 6365
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According to our database, Mr. Thomas Russell Coleman MA CCC-SLP NPI is 1215129457, taxonomy code is 235Z00000X and license number is 6365, license state is located at Massachusetts. Thomas Russell Coleman MA CCC-SLP physically located at 3 Burlington Woods, Burlington MA, 01803-4514. NPI Number Thomas Russell Coleman MA CCC-SLP has the Individual type.

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1215129457 NPI number is provided on an as is basis without warranty of any kind. 1215129457 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Russell Coleman MA CCC-SLP are for informational purposes only.