Active NPIIndividual provider

Mackenzie L Pontonio, MS, CCC-SLP

Speech-Language Pathologist, in Oxford, Connecticut

NPI Number1083415020
Practice location
350 Center Rock Grn Ste 10, Oxford, CT 06478-3170
Fax
—
Last updated
March 24, 2025

Mackenzie Leigh Pontonio is a Speech-Language Pathologist, based in Oxford, CT. Mackenzie Leigh Pontonio practices in Oxford, CT and has the professional credentials of MS, CCC-SLP. The NPI Number for Mackenzie Leigh Pontonio is 1083415020 and holds a License No. 8053 (CT). The current practice location address for Mackenzie Leigh Pontonio is 350 Center Rock Grn Ste 10, Oxford, CT 06478-3170 and can be reached out via phone at 203-828-6790.

Provider Profile Details

NPI Number
1083415020
Provider Name
Mackenzie Leigh Pontonio
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
350 Center Rock Grn Ste 10, Oxford, CT 06478-3170
Phone Number
203-828-6790
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 24, 2025
Last Update Date
March 24, 2025
Certification Date
March 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Center Rock Grn Ste 10
Oxford, CT 06478-3170
City
Oxford
Zip
06478-3170
Phone Number
203-828-6790
Oxford, CT 06478Get directions →

Provider Business Mailing Address Details

Address
350 Center Rock Grn Ste 10
Oxford, CT 06478-3170
City
Oxford
State
CT
Zip
06478-3170
Phone Number
203-828-6790

License Information

License Number
8053
License State
CT
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mackenzie L Pontonio, MS, CCC-SLP?

The NPI number of Mackenzie L Pontonio, MS, CCC-SLP is 1083415020. It was assigned on March 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Mackenzie L Pontonio, MS, CCC-SLP?

Mackenzie L Pontonio, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 8053.

Where does Mackenzie L Pontonio, MS, CCC-SLP practice?

The practice location is 350 Center Rock Grn Ste 10, Oxford, CT 06478-3170. The office can be reached at 203-828-6790 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083415020 directly on the NPPES registry website.

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