NPI 1124545132 · live from the CMS NPI Registry
Rebecca Lee Craine, MSEd, CCC-SLP
Speech-Language Pathologist, in Riverside, RI. National Provider Identifier 1124545132, active.
NPI record
| NPI | 1124545132 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1011 Veterans Memorial Parkway, Riverside, RI 02915 |
| Practice phone | 401-432-1000 |
| Mailing address | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 |
| Enumerated | August 30, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
| Other names | Rebecca Malboeuf |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SP01284 (RI) |
| Speech-Language Pathologist, primary | 235Z00000X | 14112321 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.