Individual
JENNIFER L CAROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, GEORGE CLINIC, PROVIDENCE, RI 02903-4923
(401) 444-3201
Mailing address
593 EDDY ST, GEORGE CLINIC, PROVIDENCE, RI 02903-4923
(401) 444-3201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00159
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP00159-P
LICENSE
RI
Enumeration date
08/01/2007
Last updated
12/31/2007
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