Individual
MRS. AMY ELIZABETH PORTER WAREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC - SLP
Contact information
Practice address
2 TYLER POINT RD, BARRINGTON, RI 02806-4431
(617) 620-2661
Mailing address
PO BOX 227, BARRINGTON, RI 02806-0227
(617) 620-2661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6289
MA
235Z00000X
Speech-Language Pathologist
Primary
SP00873
RI
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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