Michelle Marie Austin, CCC-SLP

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

NPI 1295065829 · NPPES record last updated Jan 9, 2016

Key facts

NPI
1295065829
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP01115 (RI)
Practice address
12 Spring Dr
Johnston, RI 02919-3026
Phone
(401) 486-7697
NPI assigned
Jan 4, 2010
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
SP01115RIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP01115 RI Yes

Addresses

Primary practice location

12 Spring Dr
Johnston, RI 02919-3026

Mailing address

12 Spring Dr
Johnston, RI 02919-3026
Phone (401) 486-7697

Other names

  • Michelle Marie Oliveira Former name

Other providers in Johnston, RI

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

Sources for this page

Verify at the official NPI Registry.