| Jodie Elizabeth Boumenot, | |
|
15 Haswell St Apt B, Westerly, RI 02891-1911 | |
| (631) 506-9686 | |
| Not Available |
| Full Name | Jodie Elizabeth Boumenot |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 15 Haswell St Apt B, Westerly, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831938984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP00620-P (Rhode Island) | Primary |
| Provider Name | Preferred Therapy Outpatient Services Of Ri, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760258685 PECOS PAC ID: 5991146102 Enrollment ID: O20240517002482 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodie Elizabeth Boumenot, 15 Haswell St Apt B, Westerly, RI 02891-1911 Ph: () - | Jodie Elizabeth Boumenot, 15 Haswell St Apt B, Westerly, RI 02891-1911 Ph: (631) 506-9686 |
Dr. Vanessa Harwood, PHD, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28 Seabury Dr, Westerly, RI 02891 Phone: 401-932-0584 | |
Kelsey Bennion, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 280 High St, Westerly, RI 02891 Phone: 401-348-0020 | |
Shannon Muldoon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25 Wells St, Westerly, RI 02891 Phone: 401-596-6000 | |
Elizabeth Lea Hutchins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 Airport Rd, Westerly, RI 02891 Phone: 401-438-9400 | |
Mrs. Marnie Hetu Casady, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 198 Canal St, Westerly, RI 02891 Phone: 401-315-2267 | |
Stephanie Ketchen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 43b Springbrook Rd, Westerly, RI 02891 Phone: 401-596-0751 |