Individual
MS. CAROL NIEDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
105 S KILLINGLY RD, FOSTER, RI 02825-1351
(401) 678-0972
Mailing address
105 S KILLINGLY RD, FOSTER, RI 02825-1351
(401) 678-0972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00490
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29180-8
BCBSRI DBA GRODEN CTR
RI
01
—
31485-5
BCBSRI , PRIVATE PRACTICE
RI
01
—
412422
BCBS, PRIVATE PRACTICE
RI
Enumeration date
03/05/2007
Last updated
07/08/2007
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