Provider Demographics
NPI:1700420965
Name:ANDREI, ISABELLE L (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ISABELLE
Middle Name:L
Last Name:ANDREI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2342
Mailing Address - Country:US
Mailing Address - Phone:617-281-5683
Mailing Address - Fax:
Practice Address - Street 1:61 LAURIE LN
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2714
Practice Address - Country:US
Practice Address - Phone:781-499-2142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7649235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist