Provider Demographics
NPI:1013086461
Name:AUSTIN, PAUL WILLIAM (MED, CCC-SLP-A)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:WILLIAM
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:MED, CCC-SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RHODE ISLAND HOSPITAL
Mailing Address - Street 2:593 EDDY ST
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903
Mailing Address - Country:US
Mailing Address - Phone:401-444-5485
Mailing Address - Fax:401-444-6212
Practice Address - Street 1:115 GEORGIA AVE.
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4422
Practice Address - Country:US
Practice Address - Phone:401-444-5485
Practice Address - Fax:401-444-6212
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00050231H00000X
RISP00012235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist