Susan Boelger, SLP
Individual provider Active NPI Speech-Language Pathologist · Johnston, RI
NPI 1033423967 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1033423967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP00141 (RI)
- Practice address
- 1516 Atwood Ave
Johnston, RI 02919-3223 - Phone
- (401) 553-1000
- Fax
- (401) 553-1146
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP00141 | RI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00141 | RI | Yes |
Addresses
Primary practice location
1516 Atwood Ave
Johnston, RI 02919-3223
Mailing address
1516 Atwood Ave
Johnston, RI 02919-3223
Phone (401) 553-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050512037 | Other | RI | THE AUTISM PROJECT |
Other providers in Johnston, RI
- Carolyn Blessing
- Theodore William Blickwedel II
- Blue Feather Communication Collaborative LLC
- Gabriella Blumenstock
- Isabelle Katie Blumenstock I
- Jason Boie
- John D Bomford
- Gianna Bordieri
- Lynn Marie Borrelli
- Christina Bortz
All providers in Johnston, RI · Speech-Language Pathologist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.