Healthcare Provider Details

I. General information

NPI: 1053790733
Provider Name (Legal Business Name): ALANNA CONLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 COMSTOCK PKWY
CRANSTON RI
02921-2002
US

IV. Provider business mailing address

1881 WORCESTER RD
FRAMINGHAM MA
01701-5410
US

V. Phone/Fax

Practice location:
  • Phone: 401-463-0202
  • Fax:
Mailing address:
  • Phone: 508-283-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number026930
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP77122
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP01429
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: