NPI 1235866518 · live from the CMS NPI Registry
Sarah Butler Bacon, CCC-SLP
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1235866518, active.
NPI record
| NPI | 1235866518 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1 Randall Sq Ste 302, Providence, RI 02904 |
| Practice phone | 401-443-5252 |
| Mailing address | 25 Cactus St, Warwick, RI 02886 |
| Enumerated | August 5, 2022 |
| Last updated | February 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | SP01725 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.