Individual
LORIE O LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-SLP
Contact information
Practice address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 270-9991
(401) 228-6764
Mailing address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 270-9991
(401) 228-6764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00175
RI
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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