Provider Demographics
NPI:1326739889
Name:CHAMPNEY, DENISE (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:CHAMPNEY
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 1:119 LARKIN POND RD N
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-2007
Mailing Address - Country:US
Mailing Address - Phone:401-316-8751
Mailing Address - Fax:
Practice Address - Street 1:610 TEN ROD RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4236
Practice Address - Country:US
Practice Address - Phone:401-239-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00593235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist