| NPI | 1699376970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ELISABETH CONRAD KELLEY Speech Language Pathologist 401-378-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |