Healthcare Provider Details

I. General information

NPI: 1588791305
Provider Name (Legal Business Name): DANIELLE MARIE BEAUDOIN-PARSONS MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 POST RD
WARWICK RI
02886-7147
US

IV. Provider business mailing address

264 N COUNTRY CLUB DR
WARWICK RI
02888-4252
US

V. Phone/Fax

Practice location:
  • Phone: 401-739-2700
  • Fax:
Mailing address:
  • Phone: 401-383-2982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP00916
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: