Provider Demographics
NPI:1144634437
Name:BELLINO, CAREY ANNE
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:ANNE
Last Name:BELLINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 TREMONT STREET
Mailing Address - Street 2:ROBBINS SPEECH LANGUAGE AND HEARING CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:617-824-8314
Mailing Address - Fax:
Practice Address - Street 1:216 TREMONT STREET
Practice Address - Street 2:ROBBINS SPEECH LANGUAGE AND HEARING CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1845
Practice Address - Country:US
Practice Address - Phone:617-824-8314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist