Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeastern University

Organization Audiologist · NPI 1205066222

Northeastern University is an Audiologist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

30 Leon St 503 Behrakis Health Sciences Ctr
Boston, MA 02115-5009
Phone: (617) 373-2492
Fax: (671) 373-8756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 4AKD (MA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 4AKD (MA)

Record details

NPI number1205066222
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheastern University
Authorized official Samuel Solomon — Director Of Finance And Treasurer · (617) 373-2597
Other names Speech-Language And Hearing Center
NPI enumeratedJuly 24, 2009
Last updated in NPPESMarch 1, 2012
Mailing address30 Leon St, 503 Behrakis Health Sciences Center, Boston, MA 02115-5009

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