Provider Demographics
NPI:1669856167
Name:BUONANDUCI, JUSTINE N (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JUSTINE
Middle Name:N
Last Name:BUONANDUCI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:99 LONGWATER CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1642
Mailing Address - Country:US
Mailing Address - Phone:781-792-2700
Mailing Address - Fax:781-792-2707
Practice Address - Street 1:99 LONGWATER CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1642
Practice Address - Country:US
Practice Address - Phone:781-792-2700
Practice Address - Fax:781-792-2707
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8641235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist