Provider Demographics
NPI:1003195587
Name:NORCROSS, MICHELE EVE (MS CCC-SLP, CEIS)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:EVE
Last Name:NORCROSS
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Gender:F
Credentials:MS CCC-SLP, CEIS
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Mailing Address - Street 1:74 BRIDGE ST
Mailing Address - Street 2:OTA THE KOOMAR CENTER
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1147
Mailing Address - Country:US
Mailing Address - Phone:617-969-4410
Mailing Address - Fax:
Practice Address - Street 1:25 WILLOW ST
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-1537
Practice Address - Country:US
Practice Address - Phone:617-469-3080
Practice Address - Fax:617-469-3085
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2016-04-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist