Back Bay Speech Therapy Inc

LBN: Back Bay Speech Therapy Inc
Back Bay Speech Therapy Inc is an health care organization with primary practice located at 68 Russell St Unit 4 , Charlestown MA 02129-1824. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Back Bay Speech Therapy Inc can be contacted via phone (617) 807-0516, or through Butler, Lisa via phone (631) 514-5631.

Contact Information

Primary practice address
68 Russell St Unit 4 Charlestown MA 02129-1824
Phone: (617) 807-0516
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Butler, Lisa SLP
Phone: (631) 514-5631

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1508338989
LBN Legal business name Back Bay Speech Therapy Inc
DBA Doing business as
Authorized official Butler, Lisa SLP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2018
Last updated Dec 22nd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508338989 NPPES
Massachusetts MEDICAID 1720360498

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