Provider Demographics
NPI:1740460310
Name:VEYTSER, IRINA SHULMAN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:SHULMAN
Last Name:VEYTSER
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 1:3 MICHAELS RD
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2029
Mailing Address - Country:US
Mailing Address - Phone:781-640-4176
Mailing Address - Fax:
Practice Address - Street 1:3 MICHAELS RD
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2029
Practice Address - Country:US
Practice Address - Phone:781-640-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist