Wellformed AI

NPI 1972074268 · live from the CMS NPI Registry

Diana M Anderson

Speech-Language Pathologist, in Westerly, RI. National Provider Identifier 1972074268, active.

NPI record

NPI1972074268 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location110 Airport Rd, Westerly, RI 02891
Practice phone401-348-9400
Mailing address110 Airport Rd Ste 102, Westerly, RI 02891
EnumeratedDecember 11, 2018
Last updatedDecember 11, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X003603 (CT)

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