IndividualActive
Lisa Janicki, MS, CCC-A
NPI 1225339062 · Audiologist · East Providence, RI
Provider details
- NPI number
- 1225339062
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-A
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000131 (RI)
Mailing address
163 Waterman St
Providence, RI 02906-3109
Registry dates
- Enumerated
- 2010-11-10
- Last updated
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.