Provider Demographics
NPI:1780917963
Name:VINARSKAYA, INESA (MS CCC - SLP)
Entity type:Individual
Prefix:
First Name:INESA
Middle Name:
Last Name:VINARSKAYA
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 1:50 BRISAS CIR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4031
Mailing Address - Country:US
Mailing Address - Phone:401-374-3087
Mailing Address - Fax:401-885-7536
Practice Address - Street 1:50 BRISAS CIR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-4031
Practice Address - Country:US
Practice Address - Phone:401-374-3087
Practice Address - Fax:401-885-7536
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-06
Last Update Date:2009-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00595235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist