Individual
SUSAN BOELGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1146
Mailing address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00141
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050512037
THE AUTISM PROJECT
RI
Enumeration date
08/03/2010
Last updated
08/03/2010
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