Diane Mearns
Individual provider Active NPI Speech-Language Pathologist · West Kingston, RI
NPI 1306388756 · NPPES record last updated Nov 15, 2016
Key facts
- NPI
- 1306388756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP00655 (RI)
- Practice address
- 2115 S County TRL
West Kingston, RI 02892-1634 - Phone
- (401) 783-8568
- NPI assigned
- Nov 15, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 003118 | CT | MD | Speech-Language Pathologist |
| SP00655 | RI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00655 | RI | Yes |
| Speech-Language Pathologist | 235Z00000X | 003118 | CT |
Addresses
Primary practice location
2115 S County TRL
West Kingston, RI 02892-1634
Mailing address
2115 S County TRL
West Kingston, RI 02892-1634
Phone (401) 783-8568
Other providers in West Kingston, RI
- Michelle Flippin
- Dana Gagnon
- Lori Santoro Gardner
- Jessica Klick
- Kim McNiece
- Patricia Marie Meinhold
- Mobile Xray Diagnostics LLC
- Holly Nichols
- Aimee Quigley
- Sandra O Romano
All providers in West Kingston, 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 Nov 15, 2016. 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.