Individual
MRS. MARLA ELAYNA PANCIOCCO D'ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ERIE ST, PROVIDENCE, RI 02908-1220
(339) 237-0290
Mailing address
68 ERIE ST, PROVIDENCE, RI 02908-1220
(339) 237-0290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
31905
CA
235Z00000X
Speech-Language Pathologist
9637
MA
235Z00000X
Speech-Language Pathologist
Primary
SP01358
RI
Other
Enumeration date
10/26/2015
Last updated
04/12/2022
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