Judith Sillari Branch, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Warren, RI
NPI 1104260967 · NPPES record last updated Apr 24, 2013
Key facts
- NPI
- 1104260967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP00802 (RI)
- Practice address
- 74 Baker St
Unit B
Warren, RI 02885-3106 - Phone
- (401) 855-0017
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP00802 | RI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00802 | RI | Yes |
Addresses
Primary practice location
74 Baker St
Unit B
Warren, RI 02885-3106
Mailing address
74 Baker St
Unit B
Warren, RI 02885-3106
Phone (401) 855-0017
Other providers in Warren, RI
- Susan Benson
- Elizabeth Jane Bland
- Alyssa Boardway
- Kristen Bottachiari
- Gianna M. Boulet
- Aaron Branco
- Sofia Cadden
- William Thomas Campion III
- Mark Paul Casimiro
- Casey Catlin
All providers in Warren, 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 Apr 24, 2013. 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.