NPI 1811622202 · live from the CMS NPI Registry
Kristin Desmarais
Speech-Language Pathologist, in Beverly, MA. National Provider Identifier 1811622202, active.
NPI record
| NPI | 1811622202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 100 Cummings Ctr Ste 350g, Beverly, MA 01915 |
| Practice phone | 978-712-0003 |
| Mailing address | 8 Maplewood Ave, Warwick, RI 02889 |
| Enumerated | July 19, 2022 |
| Last updated | October 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SP01729 (RI) |
| Speech-Language Pathologist, primary | 235Z00000X | 78536-SP-SL (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.