Provider Demographics
NPI:1487850459
Name:EMERSON COLLEGE
Entity Type:Organization
Organization Name:EMERSON COLLEGE
Other - Org Name:ROBBINS SPEECH, LANGUAGE AND HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:MICUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:617-824-8313
Mailing Address - Street 1:120 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-4611
Mailing Address - Country:US
Mailing Address - Phone:617-824-8323
Mailing Address - Fax:617-824-8733
Practice Address - Street 1:216 TREMONT STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116
Practice Address - Country:US
Practice Address - Phone:617-824-8323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty