Individual ProviderGlenn William BuntingSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address243 Charles St, Voice & Speech Laboratory 11th Floor, Boston, MA 02114-3002(617) 573-4455PECOS EnrollmentBased on the most recent information from CMS, provider Glenn William Bunting 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 ID1992048771Provider TypeIndividualFull NameBunting, Glenn WilliamTitleMr.CredentialM.S.GenderMaleSole ProprietorYesEnumeration Date3/31/2013Last Updated3/31/2013Contact InformationPractice LocationPractice Address243 Charles St, Voice & Speech Laboratory 11th Floor, Boston, MA 02114-3002Phone(617) 573-4455Fax(617) 573-4060Mailing LocationMailing Address132 Canton St, North Easton, MA 02356-1350Phone(617) 573-4455Fax(617) 573-4060Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense175Massachusetts