Healthcare Provider Details

I. General information

NPI: 1558936831
Provider Name (Legal Business Name): JULIA D ORTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 TOLL GATE RD
WARWICK RI
02886-2717
US

IV. Provider business mailing address

275 W NATICK RD STE 400
WARWICK RI
02886-1161
US

V. Phone/Fax

Practice location:
  • Phone: 401-477-9495
  • Fax:
Mailing address:
  • Phone: 401-826-8875
  • Fax: 401-826-8926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP02006
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: