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 2 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