Provider Demographics
NPI:1447443718
Name:DINNES, CAROL M (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:DINNES
Suffix:
Gender:F
Credentials:MA CCC-SLP
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Mailing Address - Street 1:151 EVERETT AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-1812
Mailing Address - Country:US
Mailing Address - Phone:617-887-3529
Mailing Address - Fax:617-889-8503
Practice Address - Street 1:151 EVERETT AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-1812
Practice Address - Country:US
Practice Address - Phone:617-887-3529
Practice Address - Fax:617-889-8503
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist