Individual
THOMAS BESADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MM, MS, CCC-SLP
Contact information
Practice address
347 WILLIAMS ST APT 1, PROVIDENCE, RI 02906-3855
(860) 917-0756
Mailing address
347 WILLIAMS ST APT 1, PROVIDENCE, RI 02906-3855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01550
RI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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