NPI 1972793248 · live from the CMS NPI Registry
Jennifer L Carota
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1972793248, active.
NPI record
| NPI | 1972793248 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 593 Eddy St, George Clinic, Providence, RI 02903 |
| Practice phone | 401-444-3201 |
| Enumerated | August 1, 2007 |
| Last updated | December 31, 2007 |
| Sole proprietor | No |
| Other names | Jennifer Poluha |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00159 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.