Doctor Name: | BRENDA L SARDINHA |
NPI Number: | 1023254133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCCSLP |
License Number: | SP00797 |
Business Practice Address: | 626 Park Ave Cranston, RI - 029102154 |
Business Phone Number: | 4012709991 |
Business Fax Number: | |
Mailing Address: | 626 Park Avenue, CRANSTON |
State: | RI |
Postal Code: | 02910 |
Phone Number: | 4012709991 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |