Holly Carlton, CCC-SLP

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

NPI 1124804513 · NPPES record last updated Sep 1, 2023

Key facts

NPI
1124804513
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
77858 (RI)
Practice address
192 Avenue a
Woonsocket, RI 02895-6221
Phone
(401) 767-4830
NPI assigned
Sep 1, 2023
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
77858RIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 77858 RI Yes

Addresses

Primary practice location

192 Avenue a
Woonsocket, RI 02895-6221

Mailing address

91 Plains Rd
West Kingston, RI 02892-1218
Phone (713) 819-8364

Other providers in Woonsocket, RI

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

Sources for this page

Verify at the official NPI Registry.