Active NPIIndividual provider

Mary C Doctor, CCC-SLP

Speech-Language Pathologist, in Jamaica Plain, Massachusetts

NPI Number1043973100
Practice location
555 Amory St, Jamaica Plain, MA 02130-2652
Fax
—
Last updated
October 15, 2021

Mary Catherine Doctor is a Speech-Language Pathologist, based in Jamaica Plain, MA. Mary Catherine Doctor practices in Jamaica Plain, MA and has the professional credentials of CCC-SLP. The NPI Number for Mary Catherine Doctor is 1043973100 and holds a License No. 78236 (MA). The current practice location address for Mary Catherine Doctor is 555 Amory St, Jamaica Plain, MA 02130-2652 and can be reached out via phone at 617-383-6522.

Provider Profile Details

NPI Number
1043973100
Provider Name
Mary Catherine Doctor
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
555 Amory St, Jamaica Plain, MA 02130-2652
Phone Number
617-383-6522
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Molly Doctor (Other Name)
Provider Enumeration Date
October 15, 2021
Last Update Date
October 15, 2021
Certification Date
October 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Amory St
Jamaica Plain, MA 02130-2652
Zip
02130-2652
Phone Number
617-383-6522
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
71 Martin St Apt 1
Cambridge, MA 02138-1627
City
Cambridge
State
MA
Zip
02138-1627
Phone Number
615-594-3399

License Information

License Number
78236
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary C Doctor, CCC-SLP?

The NPI number of Mary C Doctor, CCC-SLP is 1043973100. It was assigned on October 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Mary C Doctor, CCC-SLP?

Mary C Doctor, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 78236.

Where does Mary C Doctor, CCC-SLP practice?

The practice location is 555 Amory St, Jamaica Plain, MA 02130-2652. The office can be reached at 617-383-6522 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043973100 directly on the NPPES registry website.

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