Provider Demographics
NPI:1003534942
Name:DUCKS IN A ROW PEDIATRIC SPEECH THERAPY LLC.
Entity Type:Organization
Organization Name:DUCKS IN A ROW PEDIATRIC SPEECH THERAPY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUXBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-304-2373
Mailing Address - Street 1:275 2ND AVE UNIT 3089
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2998
Mailing Address - Country:US
Mailing Address - Phone:401-405-1779
Mailing Address - Fax:
Practice Address - Street 1:275 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2949
Practice Address - Country:US
Practice Address - Phone:401-405-1779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty