Blatt, Beverly Mara
Blatt, Beverly Mara is an sole proprietor health care provider with primary practice located at 243 King St Suite 242, Northampton MA 01060-2451. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blatt, Beverly Mara can be contacted via phone (413) 584-0265.Contact Information
Primary practice address
243 King St Suite 242
Northampton MA 01060-2451
Phone: (413) 584-0265
Fax: (413) 584-2031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2556 | Massachusetts |
Profile Details
| NPI number | 1114038239 |
|---|---|
| LBN Legal business name | Blatt, Beverly Mara |
| Credentials | MA CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114038239 | NPPES |
| Massachusetts | MEDICAID | 0395889 |
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