Individual
MS. MOIRA KEOGH MCDONNELL
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
(401) 444-6212
Mailing address
97 N COUNTRY CLUB DR, WARWICK, RI 02888-4315
(401) 444-4047
(401) 444-0114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00480
RI
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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