Provider Demographics
NPI:1437297769
Name:TECHACCESS OF RI
Entity type:Organization
Organization Name:TECHACCESS OF RI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:HAMMERLIND
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:401-463-0202
Mailing Address - Street 1:110 JEFFERSON BLVD
Mailing Address - Street 2:SUITE I
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3854
Mailing Address - Country:US
Mailing Address - Phone:401-463-0202
Mailing Address - Fax:401-463-3433
Practice Address - Street 1:110 JEFFERSON BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3854
Practice Address - Country:US
Practice Address - Phone:401-463-0202
Practice Address - Fax:401-463-3433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RITR55642Medicaid