Provider Demographics
NPI:1275632655
Name:JUDITH WISNIA AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JUDITH WISNIA AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFRY
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:WISNIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSEE
Authorized Official - Phone:781-272-2100
Mailing Address - Street 1:111 S BEDFORD ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5145
Mailing Address - Country:US
Mailing Address - Phone:781-272-2100
Mailing Address - Fax:781-272-2100
Practice Address - Street 1:111 S BEDFORD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5145
Practice Address - Country:US
Practice Address - Phone:781-272-2100
Practice Address - Fax:781-272-2100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1553235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty