Individual
MARTHA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RANDALL SQUARE STE 302, PROVIDENCE, RI 02904
(401) 443-5252
Mailing address
130 CONNIE LN, STOUGHTON, MA 02072-1073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP100611
MA
235Z00000X
Speech-Language Pathologist
Primary
SP01947
RI
Other
Enumeration date
11/27/2024
Last updated
01/23/2026
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