NPI 1417166323 · live from the CMS NPI Registry
Shirley E. Brandreth, M.S. CCC SLP
Speech-Language Pathologist, in Warwick, RI. National Provider Identifier 1417166323, active.
NPI record
| NPI | 1417166323 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 101 Baldwin Rd, Warwick, RI 02886 |
| Practice phone | 401-828-4029 |
| Enumerated | May 21, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00621 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.