Nicole Bourassa, M.S. CCC-SLP
NPI #1053555615 in Needham, Massachusetts
Provider Information
- NPI Number
- 1053555615
- Entity Type
- Individual
- Name
- Nicole Bourassa, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Apr 27, 2009
- Last Updated
- Apr 27, 2009
Practice Location
- Address
- 409 GREENDALE AVE
- City
- Needham
- State
- Massachusetts
- ZIP Code
- 02492-4003
- Phone
- (781) 449-0776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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