Provider Demographics
NPI:1922376581
Name:SPEECH THERAPY SERVICES OF RHODE ISLAND, LLC
Entity Type:Organization
Organization Name:SPEECH THERAPY SERVICES OF RHODE ISLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DIIURO
Authorized Official - Last Name:PLYMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:401-578-5328
Mailing Address - Street 1:85 RIVER FARM DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2145
Mailing Address - Country:US
Mailing Address - Phone:401-578-5328
Mailing Address - Fax:401-398-2188
Practice Address - Street 1:85 RIVER FARM DR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2145
Practice Address - Country:US
Practice Address - Phone:401-578-5328
Practice Address - Fax:401-398-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00497235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty