Healthcare Provider Details

I. General information

NPI: 1396387437
Provider Name (Legal Business Name): SPEAK FREELY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SALT POND RD
WAKEFIELD RI
02879-4314
US

IV. Provider business mailing address

64 BROOKSIDE DR
EAST GREENWICH RI
02818-4074
US

V. Phone/Fax

Practice location:
  • Phone: 401-451-5895
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DOLORES PICONE
Title or Position: SPEECH- LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 401-451-5895