Healthcare Provider Details

I. General information

NPI: 1558219956
Provider Name (Legal Business Name): SHELBIE JO-ANN ROY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 COMSTOCK PKWY
CRANSTON RI
02921-2002
US

IV. Provider business mailing address

161 COMSTOCK PKWY
CRANSTON RI
02921-2002
US

V. Phone/Fax

Practice location:
  • Phone: 774-556-1936
  • Fax:
Mailing address:
  • Phone: 774-556-1936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP01903
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: