| Doctor Name: | ELIZABETH WILLEY |
| NPI Number: | 1063795946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SP01082 |
| Business Practice Address: | 55 Hope St C/o Family Service Of Rhode Island Inc Providence, RI - 029062001 |
| Business Phone Number: | 4013311350 |
| Business Fax Number: | 4012773366 |
| Mailing Address: | Po Box 6688, C/o Family Service Of Rhode Island, Inc PROVIDENCE |
| State: | RI |
| Postal Code: | 029406688 |
| Phone Number: | 4013311350 |
| Fax Number: | 4012773366 |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP01082 |
| 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 |