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Individual

TAYLOR ANN COLLINS FLICKINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9101
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9101

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00435-P
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0614
NEIGHBORHOOD HEALTH
RI
05
ES01788
RI
01
SB870
BLUE CROSS BLUE SHEILD
RI
Enumeration date
08/22/2018
Last updated
10/25/2022
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