Basic Information
| Provider Information | |||||||||
| NPI: | 1225100845 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FERRARO | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | MS CCC SLP (C) | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 WHITFIELD PL | ||||||||
| Address2: | |||||||||
| City: | NEWPORT | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028402999 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014444051 | ||||||||
| FaxNumber: | 4014446212 | ||||||||
| Practice Location | |||||||||
| Address1: | 593 EDDY ST | ||||||||
| Address2: | |||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029034923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014445485 | ||||||||
| FaxNumber: | 4014446212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP000353 | RI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.