Northeastern University

NPI #1205066222 in Boston, Massachusetts

Provider Information

NPI Number: 1205066222
Entity Type: Organization
Organization Name: Northeastern University
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHEASTERN UNIVERSITY
Primary Specialty: Audiologist
Enumeration Date: Jul 24, 2009
Last Updated: Mar 1, 2012

Practice Location

Address: 30 LEON ST
Address 2: 503 BEHRAKIS HEALTH SCIENCES CENTER
City: Boston
State: Massachusetts
ZIP Code: 02115-5009
Phone: (617) 373-2492

Authorized Official

Name: MR. SAMUEL B SOLOMON
Title: DIRECTOR OF FINANCE AND TREASURER
Phone: (617) 373-2597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Audiologist	231H00000X	Primary

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