Ebert, Charisa
Ebert, Charisa is an sole proprietor health care provider with primary practice located at 800 Technology Center Dr Ste 110 , Stoughton MA 02072-4721. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Ebert, Charisa can be contacted via phone (508) 838-3738.Contact Information
Primary practice address
800 Technology Center Dr Ste 110
Stoughton MA 02072-4721
Phone: (508) 838-3738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 2380-SP-SA | Massachusetts |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 78723-SP-SL | Massachusetts |
Profile Details
| NPI number | 1073269213 |
|---|---|
| LBN Legal business name | Ebert, Charisa |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2022 |
| Last updated | Nov 18th, 2022 - about 3 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.
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