Healthcare Provider Details

I. General information

NPI: 1467944165
Provider Name (Legal Business Name): JOAN RINGROSE SELLERS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 STATE ST
NORTHAMPTON MA
01060-2226
US

IV. Provider business mailing address

P.O. BOX 144
NORTHAMPTON MA
01061
US

V. Phone/Fax

Practice location:
  • Phone: 413-282-8710
  • Fax:
Mailing address:
  • Phone: 413-282-8710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP100425
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: