NPI 1992878755 · live from the CMS NPI Registry
Jessica Marie Cavallini, M.S.
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1992878755, active.
NPI record
| NPI | 1992878755 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-5985 |
| Mailing address | 146 Lussier Ave, Attleboro, MA 02703 |
| Enumerated | November 17, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP00754 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.