NPI 1790957074 · live from the CMS NPI Registry
Lynda A. Distefano, MS, CCC-SLP
Speech-Language Pathologist, in Lincoln, RI. National Provider Identifier 1790957074, active.
NPI record
| NPI | 1790957074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 640 George Washington Highway, Building B, Lincoln, RI 02865 |
| Practice phone | 401-359-4898 |
| Mailing address | 166 Bay Spring Ave, Barrington, RI 02806 |
| Enumerated | March 27, 2008 |
| Last updated | April 1, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00880 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.