| NPI | 1508544248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA JACQUES Speech/Language Pathologist 401-426-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-09-04 |