Healthcare Provider Details

I. General information

NPI: 1902728751
Provider Name (Legal Business Name): LAWRENCE SPEECH AND LANGUAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 WAMPANOAG TRL # 108A
RIVERSIDE RI
02915-1000
US

IV. Provider business mailing address

116 DAGGETT AVE
PAWTUCKET RI
02861-2764
US

V. Phone/Fax

Practice location:
  • Phone: 508-838-3984
  • Fax:
Mailing address:
  • Phone: 508-838-3984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SIERRA RAE LAWRENCE
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 508-838-3984