Individual
ELIZABETH PORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5 MOUNT AVE, BRISTOL, RI 02809-4029
(401) 297-6123
Mailing address
5 MOUNT AVE, BRISTOL, RI 02809-4029
(401) 297-6123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9132
MA
235Z00000X
Speech-Language Pathologist
Primary
SPO1212
RI
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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