| Doctor Name: | MRS. AMY ELIZABETH PORTER WAREHAM |
| NPI Number: | 1083937205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC - SLP |
| License Number: | 6289 |
| Business Practice Address: | 2 Tyler Point Rd Barrington, RI - 028064431 |
| Business Phone Number: | 6176202661 |
| Business Fax Number: | |
| Mailing Address: | Po Box 227, BARRINGTON |
| State: | RI |
| Postal Code: | 028060227 |
| Phone Number: | 6176202661 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 6289 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| 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 |