NPI 1104256304 · live from the CMS NPI Registry
Kimberly Biller, CCC-SLP
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1104256304, active.
NPI record
| NPI | 1104256304 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-5485 |
| Mailing address | 1044 Boston Neck Rd, Apt 8, Narragansett, RI 02882 |
| Enumerated | November 25, 2013 |
| Last updated | November 25, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00290-P (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.