MRS. Yelena Mamedova, M.S. CCC/SLP
NPI #1306125067 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1306125067
- Entity Type
- Individual
- Name
- MRS. Yelena Mamedova, M.S. CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC/SLP
- Enumeration Date
- Aug 12, 2011
- Last Updated
- Aug 12, 2011
Practice Location
- Address
- 13 CLARK ST
- Address 2
- UNIT 2
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-6012
- Phone
- (617) 733-4378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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