Individual
JEREMY T. BAPTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 726-1800
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 726-1800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00940
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
412296
EI BLUE CHIP
RI
01
—
4600103
EIUHP
RI
05
—
ES01788
—
RI
Enumeration date
07/15/2006
Last updated
11/19/2013
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