Individual
NATALIE CENTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RANDALL SQ STE 302, PROVIDENCE, RI 02904-2773
(401) 443-5252
Mailing address
1 RANDALL SQ STE 302, PROVIDENCE, RI 02904-2773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120614
TX
235Z00000X
Speech-Language Pathologist
78711
MA
235Z00000X
Speech-Language Pathologist
Primary
SP01928
RI
Other
Enumeration date
02/06/2023
Last updated
10/16/2024
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