Individual
ELIZABETH BACCARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5485
Mailing address
38 NORTH ST, CRANSTON, RI 02920-1723
(401) 272-5189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12041480
RI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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