Provider Demographics
NPI:1902958994
Name:SINGER, ROBERTA (MS)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 W INDEPENDENCE WAY
Mailing Address - Street 2:SUITE I
Mailing Address - City:KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02881-1124
Mailing Address - Country:US
Mailing Address - Phone:401-874-4743
Mailing Address - Fax:401-874-4404
Practice Address - Street 1:25 W INDEPENDENCE WAY
Practice Address - Street 2:SUITE I
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-1124
Practice Address - Country:US
Practice Address - Phone:401-874-4743
Practice Address - Fax:401-874-4404
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI000037231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIUR32986Medicaid
RI4500018Medicare UPIN
RIUR32986Medicaid
RI2626-0Medicare UPIN