Individual
JUSTINE M GENGARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
18 EDGEWOOD AVE, ASHAWAY, RI 02804-2202
(401) 965-3056
Mailing address
18 EDGEWOOD AVE, ASHAWAY, RI 02804-2202
(401) 965-3056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15136
NC
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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