Organization Name: | ALPHABET SOUP, INC |
NPI Number: | 1437361672 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER P. HOSKINS (CLINICAL DIRECTOR) |
Mailing Address: | 320 Phillips Street Suite 102 North Kingstown |
State: | RI US |
Postal Code: | 02852 |
Phone Number: | 4012952955 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00831 |
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 |