Maryanne Miller Allan, M, ED., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Middletown, RI

NPI 1104059682 · NPPES record last updated Aug 31, 2009

Key facts

NPI
1104059682
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
147 (RI)
Practice address
438 E Main Rd
Middletown, RI 02842-7263
Phone
(401) 847-0960
Fax
(401) 845-9618
NPI assigned
Aug 31, 2009
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

LicenseStateTypeSpecialty
147RIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 147 RI Yes

Addresses

Primary practice location

438 E Main Rd
Middletown, RI 02842-7263

Mailing address

438 E Main Rd
Middletown, RI 02842-7263
Phone (401) 847-0960

Other providers in Middletown, RI

All providers in Middletown, RI · Speech-Language Pathologist in Rhode Island

Sources for this page

Verify at the official NPI Registry.