NPI 1093313819 · live from the CMS NPI Registry
Victoria Leeann Dekoatz, M.S., CCC-SLP
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1093313819, active.
NPI record
| NPI | 1093313819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 134 Thurbers Ave, Providence, RI 02905 |
| Practice phone | 401-919-6551 |
| Mailing address | 108 Norwood Ave # 2, Cranston, RI 02905 |
| Enumerated | October 14, 2020 |
| Last updated | October 14, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP01585 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.