Alison Destefano, MS, CCC-SLP
NPI #1104404623 in Medford, Massachusetts
Provider Information
- NPI Number
- 1104404623
- Entity Type
- Individual
- Name
- Alison Destefano, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Mar 29, 2021
- Last Updated
- Mar 29, 2021
Practice Location
- Address
- 619 BOSTON AVE APT 1
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-1375
- Phone
- (781) 572-4555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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