Costello, John M

Costello, John M is an individual health care provider with primary practice located at 9 Hope Ave , Waltham MA 02453-2741. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Costello, John M can be contacted via phone (781) 216-2220.

Contact Information

Primary practice address
9 Hope Ave Waltham MA 02453-2741
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2970 Massachusetts

Profile Details

NPI number 1962472720
LBN Legal business name Costello, John M
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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