Individual
SHAYNA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RANDALL SQ STE 302, PROVIDENCE, RI 02904-2773
(401) 443-5252
Mailing address
1 RANDALL SQ STE 302, PROVIDENCE, RI 02904-2773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
72792
RI
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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