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NPI Code Detail

MEDICARE: MISS KATHERINE HERBERT CCC-SLP

MEDICARE: MISS KATHERINE HERBERT CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP01568RI

General Provider Information

NPI Number : 1053928937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KATHERINE HERBERT CCC-SLP
Provider Business Mailing Address
First Line : 184 WOONASQUATUCKET AVE APT 210
Second Line :
City : NORTH PROVIDENCE
State : RI
Zip : 02911-7119
Country : US
Telephone Number : 708-738-4409
Fax Number :
Provider Business Practice Location Address
First Line : 15 SUMNER BROWN RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1214
Country : US
Telephone Number : 401-333-6352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2020
Last Update Date : 09/25/2020

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Directions to “ MISS KATHERINE HERBERT CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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