Most Relevant Information
Provider Data
| NPI Number: | 1003000456 |
| Provider Name: | STACIE ANN HOBAN MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 6638 |
Most Important Dates
| Enumeration Date: | 08/29/2007 |
| Last Updated: | 08/29/2007 |
Provider Practice Location
300 OCEAN AVE
SPEECH AND LANGUAGE
REVERE
MA
021513675
Practice Location Phone/Fax
| Phone: | 7814856131 |
| Fax: |
Provider Mailing Location
300 OCEAN AVE
SPEECH AND LANGUAGE
REVERE
MA
021513675
Provider Mailing Phone/Fax
| Phone: | 7814856131 |
| Fax: |