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?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty