Individual
MS. LISA F MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 COMMONWEALTH AVE, WARWICK, RI 02886-2707
(401) 691-4511
Mailing address
17D EAGLE RUN, EAST GREENWICH, RI 02818-5022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00750
RI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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