Tara Kathryn Stadelman-Cohen | Boston, MA • PECOS Search

Tara Kathryn Stadelman-Cohen

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1 Bowdoin Sq Fl 11, Boston, MA 02114-2919

(617) 726-0220 (857) 919-1085

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Kathryn Stadelman-Cohen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1780728741
Provider Type
Individual
Full Name
Stadelman-Cohen, Tara Kathryn
Title
Ms.
Credential
M.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/16/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1 Bowdoin Sq Fl 11, Boston, MA 02114-2919

Unlisted Fax

Mailing Location

31 Weldon Farm Rd, Rowley, MA 01969-1644

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 6345 Massachusetts