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Individual

SASHA ELIZABETH WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9165
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8741
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0614
NEIGHBORHOOD HEALTH PLAN
RI
05
ES01788
RI
01
S870
BLUE CROSS
RI
Enumeration date
01/24/2013
Last updated
08/19/2015
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