Justine M Gengarella, M.S., CCC/SLP
Speech-Language Pathologist, in Ashaway, RI. Individual provider (NPI-1).
NPI number1245979293
StatusActive
Last updated in NPPESMay 28, 2022
Details
- NPI
- 1245979293
- Entity type
- Individual (NPI-1)
- Name
- Justine M Gengarella
- Credential
- M.S., CCC/SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2022
- Certification date
- May 28, 2022
- Last updated
- May 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 15136 | NC | Yes |
Practice location
18 Edgewood AveAshaway, RI 02804-2202
Phone 401-965-3056
Mailing address
18 Edgewood AveAshaway, RI 02804-2202
Phone 401-965-3056
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