Michele G. Fava, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Foster, RI
NPI 1801912464 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801912464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002723 (CT)
- Practice address
- 117B Plainwoods Rd
Foster, RI 02825-1622 - Phone
- (860) 889-8331
- Fax
- (860) 823-6540
- NPI assigned
- Mar 22, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002723 | CT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002723 | CT | Yes |
Addresses
Primary practice location
117B Plainwoods Rd
Foster, RI 02825-1622
Mailing address
117B Plainwoods Rd
Foster, RI 02825-1622
Phone (860) 889-8331
Other providers in Foster, RI
- Mary Joanne Chretien
- Consivian, Inc.
- Liz-Anna Pernarella Darling
- Dona L Dolan
- East Killingly Road Group Home
- Foster School Department
- Anthony P Franco
- Jessica Gawrys
- M. Megan Giovanni
- Granite Brook Farm Inc.
All providers in Foster, 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 Jul 8, 2007. 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.