NPI 1033423967 · live from the CMS NPI Registry
Susan Boelger, SLP
Speech-Language Pathologist, in Johnston, RI. National Provider Identifier 1033423967, active.
NPI record
| NPI | 1033423967 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1516 Atwood Ave, Johnston, RI 02919 |
| Practice phone | 401-553-1000 |
| Enumerated | August 3, 2010 |
| Last updated | August 3, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00141 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.