Breezy Nicole Bringhurst

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

NPI 1235642018 · NPPES record last updated Nov 14, 2017

Key facts

NPI
1235642018
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP01142 (RI)
Practice address
660 Commonwealth Ave
Warwick, RI 02886-2707
Phone
(401) 739-4241
NPI assigned
Nov 14, 2017
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
SP01142RIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP01142 RI Yes

Addresses

Primary practice location

660 Commonwealth Ave
Warwick, RI 02886-2707

Mailing address

63 Rosewood Rd
Somerset, MA 02726-3931

Other providers in Warwick, RI

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

Sources for this page

Verify at the official NPI Registry.