Hetherton, Mary Beth

Hetherton, Mary Beth is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hetherton, Mary Beth can be contacted via phone (617) 629-6220.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Phone: (617) 629-6220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3243 Massachusetts

Profile Details

NPI number 1427028976
LBN Legal business name Hetherton, Mary Beth
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Aug 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427028976 NPPES
Massachusetts Other SP0146 BLUE CROSS
Massachusetts MEDICAID 0333182 BLUE CROSS
Massachusetts Other B501027 BLUE CROSS
Massachusetts Other HV0002 BLUE CROSS
Massachusetts Other 0022118 BLUE CROSS
Massachusetts Other 908317 BLUE CROSS

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