Individual
ANN MARIE MARIE GLANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
70 HARRISON AVE, NEWPORT, RI 02840-3879
(401) 829-6246
Mailing address
96 SCENIC WAY, EXETER, RI 02822-3427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01046
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12063175
ASHA
—
01
—
9461024
RHODE ISLAND DIVISIONS OF MOTOR VEHICLES
RI
01
—
9936
COMMONWEALTH OF MASSACHUSETTS
MA
01
—
SP01046
RHODE ISLAND DEPT OF HEALTH
RI
Enumeration date
05/24/2017
Last updated
05/24/2017
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