Provider Demographics
NPI:1457781742
Name:FLOOD, JANE ANNE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ANNE
Last Name:FLOOD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ANNE
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 AUBURN ST
Mailing Address - Street 2:EASTER SEALS RHODE ISLAND
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-4803
Mailing Address - Country:US
Mailing Address - Phone:401-284-1000
Mailing Address - Fax:401-284-1006
Practice Address - Street 1:213 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3590
Practice Address - Country:US
Practice Address - Phone:401-284-1000
Practice Address - Fax:401-284-1006
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00635235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist