Individual
ALYSSA CATHERINE GANGAWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
361 NEWBURY ST FL 5, BOSTON, MA 02115-2727
(617) 302-6244
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101726
MA
235Z00000X
Speech-Language Pathologist
SP00445-P
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NHP RI
RI
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS RI
RI
Enumeration date
05/30/2019
Last updated
08/13/2025
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