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NPI Code Detail

MEDICARE: MRS. ELLEN M MUURRAY MS CCC-SLP

MEDICARE:  MRS. ELLEN M MUURRAY  MS 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 PathologistSP01016RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP01016OTHERRILICENSE IN SPEECH LANGUAGE PATHOLOGY

General Provider Information

NPI Number : 1063735025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELLEN M MUURRAY MS CCC-SLP
Provider Business Mailing Address
First Line : 16 ELM CT
Second Line :
City : RUMFORD
State : RI
Zip : 02916-2605
Country : US
Telephone Number : 401-633-2717
Fax Number :
Provider Business Practice Location Address
First Line : 16 ELM CT
Second Line :
City : RUMFORD
State : RI
Zip : 02916-2605
Country : US
Telephone Number : 401-633-2717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2010
Last Update Date : 03/04/2010

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Directions to “ MRS. ELLEN M MUURRAY MS CCC-SLP” Practice Location

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