Provider Demographics
NPI:1467772889
Name:QUINTIN, ELIZABETH (CFY SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:QUINTIN
Suffix:
Gender:F
Credentials:CFY SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 ROOT RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-9832
Mailing Address - Country:US
Mailing Address - Phone:413-568-3942
Mailing Address - Fax:413-568-5983
Practice Address - Street 1:209 ROOT RD
Practice Address - Street 2:SUITE #2
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-9832
Practice Address - Country:US
Practice Address - Phone:413-568-3942
Practice Address - Fax:413-568-5983
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACYF235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist