Doctor Name: | MR. PAUL WILLIAM AUSTIN |
NPI Number: | 1013086461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., CCC-SLP-A |
License Number: | SP00012 |
Business Practice Address: | 115 Georgia Ave. Providence, RI - 029054422 |
Business Phone Number: | 4014445485 |
Business Fax Number: | 4014446212 |
Mailing Address: | Rhode Island Hospital, 593 Eddy St PROVIDENCE |
State: | RI |
Postal Code: | 02903 |
Phone Number: | 4014445485 |
Fax Number: | 4014446212 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |