Doctor Name: | MRS. ANDREA DEWHIRST |
NPI Number: | 1508160409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 12052800 |
Business Practice Address: | 6 Josephine Dr Smithfield, RI - 029172384 |
Business Phone Number: | 6172756275 |
Business Fax Number: | |
Mailing Address: | 6 Josephine Dr, SMITHFIELD |
State: | RI |
Postal Code: | 029172384 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/06/2011 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12052800 |
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 |