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NPI Code Detail

MEDICARE: ALLISON JENNA COREY MS, CCC-SLP

MEDICARE:   ALLISON JENNA COREY  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 : 1780234443
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON JENNA COREY MS, CCC-SLP
Provider Business Mailing Address
First Line : 3 JACKSON WALKWAY
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-3629
Country : US
Telephone Number : 774-365-9988
Fax Number :
Provider Business Practice Location Address
First Line : 20 AUSTIN AVE
Second Line :
City : GREENVILLE
State : RI
Zip : 02828-1449
Country : US
Telephone Number : 401-949-3880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 09/16/2019

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Directions to “ ALLISON JENNA COREY MS, CCC-SLP” Practice Location

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