Providence Va Medical Center
NPI #1174633598 in Providence, Rhode Island
Provider Information
- NPI Number
- 1174633598
- Entity Type
- Organization
- Organization Name
- Providence Va Medical Center
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 830 CHALKSTONE AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02908-4734
- Phone
- (401) 273-7100
Authorized Official
- Name
- INESA VINARSKAYA, M.S.
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (401) 273-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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