Wellformed AI

NPI 1629824321 · live from the CMS NPI Registry

Autumn Rachelle Belloni, CCC-SLP

Speech-Language Pathologist, in Newport, OR. National Provider Identifier 1629824321, active.

NPI record

NPI1629824321 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location420 Ne 12th St, Newport, OR 97365
Practice phone541-574-2240
EnumeratedApril 24, 2024
Last updatedApril 24, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X016323 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.