Diana M Anderson
Individual provider Active NPI Speech-Language Pathologist · Westerly, RI
NPI 1972074268 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1972074268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 003603 (CT)
- Practice address
- 110 Airport Rd
Westerly, RI 02891-3434 - Phone
- (401) 348-9400
- Fax
- (401) 348-9401
- NPI assigned
- Dec 11, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 003603 | CT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003603 | CT | Yes |
Addresses
Primary practice location
110 Airport Rd
Westerly, RI 02891-3434
Mailing address
110 Airport Rd Ste 102
Westerly, RI 02891-3434
Other providers in Westerly, RI
- Benjamin J Algiere
- Sumaira Ali
- Soha Alkoka
- Matthew Joshua Amaral
- Amato Medical Associates, LLC
- Maeve Elizabeth Anderson
- Rocco Joseph Andreozzi
- Anesthesia Associates of Westerly
- Jeanne P. Ansel
- Anthony C. Dimaio DDS. Inc.
All providers in Westerly, 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 Dec 11, 2018. 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.