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

Mithra Ten Brink, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1801778444

Mithra Ten Brink, MSCCCSLP is a Qualified Speech Language Pathologist in Beverly, Massachusetts. Qualified in 2024, 2 years ago. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025

Practice location Address checks out

100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127
Phone: (617) 775-5528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP101404 (MA)

Record details

NPI number1801778444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address100 Cummings Ctr Ste 135h, Beverly, MA 01915-6127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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