Geraldine Theodore, SLP
NPI #1447302450 in Kingston, Rhode Island
Provider Information
- NPI Number
- 1447302450
- Entity Type
- Individual
- Name
- Geraldine Theodore, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 25 W INDEPENDENCE WAY
- Address 2
- SUITE I
- City
- Kingston
- State
- Rhode Island
- ZIP Code
- 02881-1124
- Phone
- (401) 874-2577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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