MEDICARE: MR. THOMAS MATTHEW LANDRY M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP00714	RI

General Provider Information

NPI Number	:	1023008885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS MATTHEW LANDRY M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	40 AMBROSE ST
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-3516
Country	:	US
Telephone Number	:	401-419-9284
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 AMBROSE ST
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-3516
Country	:	US
Telephone Number	:	401-419-9284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	09/01/2023

Similar Medicare Providers

1760162291 — VENKIA CLYSHA LAPSEY
Practice Location Address:

39 PARKWAY AVE
PROVIDENCE, RI
02908-3516

Practice Phone: 401-696-0932
Practice Fax:

1649950171 — NAYELIS COMPANION DOULA SERVICES
Practice Location Address:

39 PARKWAY AVE
PROVIDENCE, RI
02908-3516

Practice Phone: 401-696-0932
Practice Fax:

1750505277 — MS. NANCY PAULETTE MILAN MSW
Practice Location Address:

1050 REMOUNT RD BLDG 3107
NORTH CHARLESTON, SC
29406-3516

Practice Phone: 843-743-0306
Practice Fax: 843-743-0334

1639367477 — RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC
Practice Location Address:

3516 NORTH BLVD STE 1-B
ALEXANDRIA, LA
71301-3675

Practice Phone: 318-442-2339
Practice Fax: 318-442-2340

1669604757 — ANDRES M NARANJO IDC
Practice Location Address:

1050 REMOUNT RD BLDG 3107
NORTH CHARLESTON, SC
29406-3516

Practice Phone: 843-794-0053
Practice Fax:

1831472455 — KASHIF RUSSELL
Practice Location Address:

3516 BECA FAITH DR
NORTH LAS VEGAS, NV
89032-7903

Practice Phone: 702-624-6515
Practice Fax:

Directions to “ MR. THOMAS MATTHEW LANDRY M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.