MEDICARE: MRS. OLIVIA BOYLE BURCH M.S., 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
1	235Z00000X	Speech-Language Pathologist	SP01969	RI

General Provider Information

NPI Number	:	1447471016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLIVIA BOYLE BURCH M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	4 QUAIL CT
Second Line	:
City	:	EAST GREENWICH
State	:	RI
Zip	:	02818-1569
Country	:	US
Telephone Number	:	401-487-0562
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE C104
Second Line	:
City	:	N KINGSTOWN
State	:	RI
Zip	:	02852-4127
Country	:	US
Telephone Number	:	401-404-5585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	05/14/2025

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Directions to “ MRS. OLIVIA BOYLE BURCH M.S., CCC-SLP” Practice Location

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