Provider Demographics
NPI: | 1235654641 |
---|---|
Name: | COMMUNITY ACCESS SPEECH THERAPIST |
Entity Type: | Organization |
Organization Name: | COMMUNITY ACCESS SPEECH THERAPIST |
Other - Org Name: | ACCESS SPEECH THERAPY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SARAH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HAMEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CCC-SLP |
Authorized Official - Phone: | 401-327-1228 |
Mailing Address - Street 1: | 17 FRANCIS ST |
Mailing Address - Street 2: | |
Mailing Address - City: | WARWICK |
Mailing Address - State: | RI |
Mailing Address - Zip Code: | 02889-2807 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 401-327-1228 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2220 PLAINFIELD PIKE STE 5W |
Practice Address - Street 2: | |
Practice Address - City: | CRANSTON |
Practice Address - State: | RI |
Practice Address - Zip Code: | 02921-2001 |
Practice Address - Country: | US |
Practice Address - Phone: | 401-366-4193 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-08-07 |
Last Update Date: | 2017-08-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |