Stephanie Tally, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Saunderstown, RI
NPI 1699345975 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1699345975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP00896 (RI)
- Practice address
- 2140 Boston Neck Rd
Saunderstown, RI 02874-3401 - Phone
- (401) 578-7380
- NPI assigned
- Jun 29, 2021
- 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)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00896 | RI | Yes |
Addresses
Primary practice location
2140 Boston Neck Rd
Saunderstown, RI 02874-3401
Mailing address
2140 Boston Neck Rd
Saunderstown, RI 02874-3401
Phone (401) 578-7380
Other names
- Stephanie A Kowal
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stally@kentri.org | Direct |
Other providers in Saunderstown, RI
All providers in Saunderstown, 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 Jun 29, 2021. 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.