Provider Demographics
NPI:1972887313
Name:DIIURO, JENNIFER ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANN
Last Name:DIIURO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 RIVER FARM DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2145
Mailing Address - Country:US
Mailing Address - Phone:401-578-5328
Mailing Address - Fax:401-398-2188
Practice Address - Street 1:85 RIVER FARM DR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2145
Practice Address - Country:US
Practice Address - Phone:401-578-5328
Practice Address - Fax:401-398-2188
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00497235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist