Individual
GERALDINE THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
25 W INDEPENDENCE WAY, SUITE I, KINGSTON, RI 02881-1124
(401) 874-2577
(401) 874-4404
Mailing address
25 W INDEPENDENCE WAY, SUITE I, KINGSTON, RI 02881-1124
(401) 874-2577
(401) 874-4404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00272
RI
Other
Enumeration date
01/18/2007
Last updated
07/09/2007
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