Provider Demographics
NPI:1194211615
Name:NORTH SHORE AAC
Entity type:Organization
Organization Name:NORTH SHORE AAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRITT-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:508-633-4913
Mailing Address - Street 1:3A BLACK DUCK CIR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-2300
Mailing Address - Country:US
Mailing Address - Phone:508-633-4913
Mailing Address - Fax:
Practice Address - Street 1:3A BLACK DUCK CIR
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-2300
Practice Address - Country:US
Practice Address - Phone:508-633-4913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5243261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech