Provider Demographics
NPI:1952814014
Name:SPREMULLO, EVE (MS/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:SPREMULLO
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 1:59 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-3907
Mailing Address - Country:US
Mailing Address - Phone:401-529-3774
Mailing Address - Fax:
Practice Address - Street 1:59 BROOKS ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3907
Practice Address - Country:US
Practice Address - Phone:401-529-3774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00766235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist