Individual
MRS. ANDREA R GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 276-4300
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 276-4300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01007
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BCROSS
RI
01
—
412296
EI BCHIP
RI
01
—
4600103
EI UNITED
RI
Enumeration date
04/09/2008
Last updated
08/27/2024
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