Healthcare Provider Details

I. General information

NPI: 1205692431
Provider Name (Legal Business Name): UNIVERSITY OF RHODE ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W INDEPENDENCE WAY STE I
KINGSTON RI
02881-1127
US

IV. Provider business mailing address

25 W INDEPENDENCE WAY STE I
KINGSTON RI
02881-1127
US

V. Phone/Fax

Practice location:
  • Phone: 401-874-5969
  • Fax: 401-874-4404
Mailing address:
  • Phone: 401-874-5969
  • Fax: 401-874-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH RIEBE
Title or Position: ASSOCIATE DEAN, CHS
Credential: PHD
Phone: 401-874-5444