Individual
DIANA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 AIRPORT RD, WESTERLY, RI 02891-3434
(401) 348-9400
(401) 348-9401
Mailing address
110 AIRPORT RD STE 102, WESTERLY, RI 02891-3434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003603
CT
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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