Healthcare Provider Details

I. General information

NPI: 1083549380
Provider Name (Legal Business Name): HALF PINT THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 OAK HILL RD
WAKEFIELD RI
02879-2509
US

IV. Provider business mailing address

5 OAK HILL RD
WAKEFIELD RI
02879-2509
US

V. Phone/Fax

Practice location:
  • Phone: 401-213-9427
  • Fax:
Mailing address:
  • Phone: 401-213-9427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: GABRIELLE MORAN
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 401-213-9427