Provider Demographics
NPI:1306963574
Name:MAUCERI, PATRICIA MURPHY (AUD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MURPHY
Last Name:MAUCERI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1449
Mailing Address - Country:US
Mailing Address - Phone:781-599-0945
Mailing Address - Fax:
Practice Address - Street 1:30 LEON ST
Practice Address - Street 2:503 BEHRAKIS CENTER AT NORTHEASTERN UNIVERSITY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5009
Practice Address - Country:US
Practice Address - Phone:617-373-7016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAU149231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist