Wellformed AI

NPI 1700239761 · live from the CMS NPI Registry

Matthew Bowers, M.S. CCC-SLP

Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1700239761, active.

NPI record

NPI1700239761 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1000 Eddy St, Providence, RI 02905
Practice phone401-533-9100
EnumeratedJuly 14, 2016
Last updatedJune 19, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000XSP01383 (RI)

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