Healthcare Provider Details

I. General information

NPI: 1508544248
Provider Name (Legal Business Name): LITTLE BEE THE SLP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 MAPLECREST DR
GREENVILLE RI
02828-2914
US

IV. Provider business mailing address

22 CHESTNUT AVE
NARRAGANSETT RI
02882-6011
US

V. Phone/Fax

Practice location:
  • Phone: 401-426-2472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BIANCA JACQUES
Title or Position: SPEECH/LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 401-426-2472