Tina Ly Im, M.S. CCC-SLP

NPI #1578701371 in Brighton, Massachusetts

Provider Information

NPI Number
1578701371
Entity Type
Individual
Name
Tina Ly Im, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Feb 2, 2009
Last Updated
Feb 2, 2009

Practice Location

Address
1615 COMMONWEALTH AVE
Address 2
APT. 11
ZIP Code
02135-4213
Phone
(626) 840-0010

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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