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NPI Code Detail

MEDICARE: MRS. PATRICIA J MURTAGH CCC/SLP

MEDICARE:  MRS. PATRICIA J MURTAGH  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 PathologistSP00312RI

General Provider Information

NPI Number : 1336470913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA J MURTAGH CCC/SLP
Provider Business Mailing Address
First Line : 806 RESERVOIR AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4426
Country : US
Telephone Number : 401-954-3827
Fax Number :
Provider Business Practice Location Address
First Line : 806 RESERVOIR AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4426
Country : US
Telephone Number : 401-954-3827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2010
Last Update Date : 01/21/2010

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Directions to “ MRS. PATRICIA J MURTAGH CCC/SLP” Practice Location

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