Most Relevant Information
Provider Data
| NPI Number: | 1003233511 |
| Provider Name: | ELIZABETH PORTH M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SPO1212 |
Most Important Dates
| Enumeration Date: | 03/21/2014 |
| Last Updated: | 03/21/2014 |
Provider Practice Location
5 MOUNT AVE
BRISTOL
RI
028094029
Practice Location Phone/Fax
| Phone: | 4012976123 |
| Fax: |
Provider Mailing Location
5 MOUNT AVE
BRISTOL
RI
028094029
Provider Mailing Phone/Fax
| Phone: | 4012976123 |
| Fax: |