Lynne Bongette
Individual provider Active NPI Speech-Language Pathologist · Pawtucket, RI
NPI 1124154208 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124154208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 111 Brewster St
Pawtucket, RI 02860-4400 - Phone
- (401) 729-3481
- Fax
- (401) 729-3866
- NPI assigned
- Feb 26, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
111 Brewster St
Pawtucket, RI 02860-4400
Mailing address
111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-3481
Other providers in Pawtucket, RI
- Lisa B Bob
- Margarita Laporte Bomfim Bockorny
- Irina M Boguk
- Nicholle Boisclair
- Heather Allison Bonds-Harmon
- Yvette Bonilla
- Dinora Borges
- Jeffrey M Borkan
- Elisabeth Gessie Borno
- Dawn M Borschel
All providers in Pawtucket, 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 Jul 8, 2007. 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.