Provider Demographics
NPI:1972291862
Name:MCLOUGHLIN, BETH ANNE
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANNE
Last Name:MCLOUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 KILVERT ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1370
Mailing Address - Country:US
Mailing Address - Phone:401-618-6991
Mailing Address - Fax:401-618-6995
Practice Address - Street 1:491 KILVERT ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1370
Practice Address - Country:US
Practice Address - Phone:401-618-6991
Practice Address - Fax:401-618-6995
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00267235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist