Meghan Kelly Broz, SLP

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

NPI 1467478149 · NPPES record last updated May 26, 2015

Key facts

NPI
1467478149
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP00143-P (RI)
Practice address
31 Clark Mill St
Coventry, RI 02816-6338
Phone
(401) 595-2950
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

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
SP00143-PRIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP00143-P RI Yes

Addresses

Primary practice location

31 Clark Mill St
Coventry, RI 02816-6338

Mailing address

31 Clark Mill St
Coventry, RI 02816-6338
Phone (401) 595-2950

Other providers in Coventry, RI

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

Sources for this page

Verify at the official NPI Registry.