Provider Demographics
NPI:1235729138
Name:ROBICHAUD, BRIANNA (AUD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:ROBICHAUD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01542-1144
Mailing Address - Country:US
Mailing Address - Phone:508-735-4494
Mailing Address - Fax:
Practice Address - Street 1:134 THURBERS AVE STE 212
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4721
Practice Address - Country:US
Practice Address - Phone:401-453-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00265231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist