Alison Anderson, MS, CCC-SLP

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

NPI 1770710295 · NPPES record last updated Jul 24, 2013

Key facts

NPI
1770710295
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP00945 (RI)
Practice address
168 Wilson Ave
Rumford, RI 02916-2725
Phone
(401) 474-2886
NPI assigned
Jun 11, 2009
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP00945RIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP00945 RI Yes

Addresses

Primary practice location

168 Wilson Ave
Rumford, RI 02916-2725

Mailing address

168 Wilson Ave
Rumford, RI 02916-2725
Phone (401) 474-2886

Other providers in Rumford, RI

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

Sources for this page

Verify at the official NPI Registry.