Individual ProviderIvy KublinSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address6 Whittier Pl Apt 10d, Boston, MA 02114-1405(617) 549-1825PECOS EnrollmentBased on the most recent information from CMS, provider Ivy Kublin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376703587Provider TypeIndividualFull NameKublin, IvyGenderFemaleSole ProprietorNoEnumeration Date6/11/2008Last Updated6/11/2008Contact InformationPractice LocationPractice Address6 Whittier Pl Apt 10d, Boston, MA 02114-1405Phone(617) 549-1825FaxUnlisted FaxMailing LocationMailing Address6 Whittier Pl Apt 10d, Boston, MA 02114-1405Phone(617) 549-1825FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer