Most Relevant Information
Provider Data
| NPI Number: | 1003414962 |
| Provider Name: | KRISTEN FOAKSMAN M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 77756-SP-SL |
Most Important Dates
| Enumeration Date: | 10/13/2020 |
| Last Updated: | 10/13/2020 |
Provider Practice Location
114 GREENWOOD AVE
SWAMPSCOTT
MA
019072166
Practice Location Phone/Fax
| Phone: | 6173787119 |
| Fax: |
Provider Mailing Location
114 GREENWOOD AVE
SWAMPSCOTT
MA
019072166
Provider Mailing Phone/Fax
| Phone: | 6173787119 |
| Fax: |