Provider Demographics
NPI:1578885042
Name:CHIP, KRISTEN SOWA (MA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:SOWA
Last Name:CHIP
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PUTNAM PIKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1486
Mailing Address - Country:US
Mailing Address - Phone:401-934-1700
Mailing Address - Fax:401-934-1707
Practice Address - Street 1:600 PUTNAM PIKE
Practice Address - Street 2:SUITE 5
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1486
Practice Address - Country:US
Practice Address - Phone:401-934-1700
Practice Address - Fax:401-934-1707
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD0107231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist