Provider Demographics
NPI:1376432575
Name:RESTREPO, MARIA ISABEL (BA, C SLPA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:RESTREPO
Suffix:
Gender:F
Credentials:BA, C SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 RANDALL SQ STE 302
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2773
Mailing Address - Country:US
Mailing Address - Phone:401-433-5252
Mailing Address - Fax:401-633-7163
Practice Address - Street 1:333 SCHOOL ST STE 306
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5337
Practice Address - Country:US
Practice Address - Phone:401-793-1829
Practice Address - Fax:401-633-7163
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISLPA000022355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant