Individual
MRS. JESSICA W FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WEST INDEPENDENCE WAY, SUITE I, KINGSTON, RI 02881
(401) 874-9387
(401) 874-4404
Mailing address
25 WEST INDEPENDENCE WAY, SUITE I, KINGSTON, RI 02881
(401) 874-9387
(401) 874-4404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01511
RI
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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