IndividualActive
Andrea Koralishn, BS
NPI 1073366969 · Early Intervention Provider Agency · Lawrence, MA
Provider details
- NPI number
- 1073366969
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- BS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
360 Merrimack St
Lawrence, MA 01843-1740
Phone: (978) 620-0290
Approximate (ZIP-level) locationGet directions
Mailing address
50 Copley Dr
Methuen, MA 01844-1746
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.