NPI 1699659755 · live from the CMS NPI Registry
Blue Heron Speech & Language LLC
Speech-Language Pathologist, in Charlestown, RI. National Provider Identifier 1699659755, active.
NPI record
| NPI | 1699659755 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4213 Old Post Rd # A, Charlestown, RI 02813 |
| Practice phone | 401-859-2224 |
| Mailing address | 1b Laudone Dr, Bradford, RI 02808 |
| Enumerated | August 2, 2025 |
| Last updated | August 27, 2025 |
| Authorized official | Genevieve Muller, Speech/Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.