Provider Demographics
NPI:1891907275
Name:RABINOVITZ, JANE E (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:E
Last Name:RABINOVITZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1442
Mailing Address - Country:US
Mailing Address - Phone:781-449-0402
Mailing Address - Fax:
Practice Address - Street 1:124 CRESCENT RD
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1442
Practice Address - Country:US
Practice Address - Phone:781-449-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist