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NPI Code Detail

MEDICARE: KATHRYN MARY CALLE MS, CCC-SLP

MEDICARE: KATHRYN MARY CALLE MS, 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1083112452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MARY CALLE MS, CCC-SLP
Provider Business Mailing Address
First Line : 1992 OLD LOUISQUISSET PIKE
Second Line :
City : LINCOLN
State : RI
Zip : 02865-4590
Country : US
Telephone Number : 401-475-0653
Fax Number :
Provider Business Practice Location Address
First Line : 1992 OLD LOUISQUISSET PIKE
Second Line :
City : LINCOLN
State : RI
Zip : 02865-4590
Country : US
Telephone Number : 401-475-0653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2018
Last Update Date : 11/21/2022

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Directions to “ KATHRYN MARY CALLE MS, CCC-SLP” Practice Location

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