NPI 1225339062

Lisa Janicki, MSCCCA

Practitioner Audiologist East Providence, RI

Practice location

Address: 999 S Broadway, East Providence, RI 02914-4701
Phone: (401) 431-5100
Mailing address: 163 Waterman St, Providence, RI 02906-3109

Registered specialties (2)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 00131 (RI)

Other Audiologist providers in Rhode Island →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 000131 (RI)

Registry record

NPI: 1225339062
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2010
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.