Provider Demographics
NPI:1366608317
Name:DARROW, KEITH NOBLE (PHD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:NOBLE
Last Name:DARROW
Suffix:
Gender:M
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SHORE DRIVE, SUITE 400
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-753-8155
Mailing Address - Fax:508-797-9524
Practice Address - Street 1:102 SHORE DRIVE, SUITE 400
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-753-8155
Practice Address - Fax:508-797-9524
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA890231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist