Wellformed AI

NPI 1821476813 · live from the CMS NPI Registry

Jennifer Brissette, M.S. CCC-SLP

Speech-Language Pathologist, in Greenville, RI. National Provider Identifier 1821476813, active.

NPI record

NPI1821476813 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location735 Putnam Pike, Greenville, RI 02828
Practice phone401-862-0521
Mailing address7 Glenna Dr, Smithfield, RI 02917
EnumeratedMay 11, 2015
Last updatedMay 11, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000XSP00308-P (RI)

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