Provider Demographics
NPI:1104045038
Name:COLE-MAJOR, SALLY ANNE (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:ANNE
Last Name:COLE-MAJOR
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:PEACE DALE
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2516
Mailing Address - Country:US
Mailing Address - Phone:401-783-2165
Mailing Address - Fax:
Practice Address - Street 1:101 HIGH ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3159
Practice Address - Country:US
Practice Address - Phone:401-360-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist