Active NPIIndividual providerSole proprietor

Charisa Ebert, MS, CCC-SLP

Speech-Language Pathologist, in Stoughton, Massachusetts

NPI Number1073269213
Practice location
800 Technology Center Dr Ste 110, Stoughton, MA 02072-4721
Fax
—
Last updated
November 18, 2022

Charisa Ebert is a Speech-Language Pathologist, based in Stoughton, MA. Charisa Ebert practices in Stoughton, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Charisa Ebert is 1073269213 and holds a License No. 2380-SP-SA (MA). The current practice location address for Charisa Ebert is 800 Technology Center Dr Ste 110, Stoughton, MA 02072-4721 and can be reached out via phone at 508-838-3738.

Provider Profile Details

NPI Number
1073269213
Provider Name
Charisa Ebert
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
800 Technology Center Dr Ste 110, Stoughton, MA 02072-4721
Phone Number
508-838-3738
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2022
Last Update Date
November 18, 2022
Certification Date
November 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Technology Center Dr Ste 110
Stoughton, MA 02072-4721
Zip
02072-4721
Phone Number
508-838-3738
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
108 Woodstock RD
Attleboro, MA 02703-6713
City
Attleboro
State
MA
Zip
02703-6713

License Information

License Number (1)
2380-SP-SA
License State (1)
MA
License Number (2)
78723-SP-SL
License State (2)
MA
Taxonomy (2)
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 Charisa Ebert, MS, CCC-SLP?

The NPI number of Charisa Ebert, MS, CCC-SLP is 1073269213. It was assigned on February 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Charisa Ebert, MS, CCC-SLP?

Charisa Ebert, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 2380-SP-SA.

Where does Charisa Ebert, MS, CCC-SLP practice?

The practice location is 800 Technology Center Dr Ste 110, Stoughton, MA 02072-4721. The office can be reached at 508-838-3738 (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 1073269213 directly on the NPPES registry website.

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