| Speakteasy | |
|
72 Belcher St Randolph MA 02368-3712 | |
| (774) 319-1195 | |
| Not Available |
| Full Name | Speakteasy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 72 Belcher St, Randolph, Massachusetts |
| Authorized Official Name and Position | Brittney Slater (OWNER) |
| Authorized Official Contact | 7743191195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speakteasy 72 Belcher St Randolph MA 02368-3712 Ph: (774) 319-1195 | Speakteasy 72 Belcher St Randolph MA 02368-3712 Ph: (774) 319-1195 |
| NPI Number | 1184238917 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184238917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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