Active NPIIndividual provider

Kaitlyn Desjardin

Audiologist in Wethersfield, Connecticut

NPI Number1154884047
Practice location
Crec-Soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610
Fax
860-257-8500
Last updated
April 9, 2019

Kaitlyn Desjardin is an Audiologist based in Wethersfield, CT. Kaitlyn Desjardin practices in Wethersfield, CT. The NPI Number for Kaitlyn Desjardin is 1154884047 and holds a License No. 000619 (CT). The current practice location address for Kaitlyn Desjardin is Crec-Soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 and can be reached out via phone at 860-529-4260 and via fax at 860-257-8500.

Provider Profile Details

NPI Number
1154884047
Provider Name
Kaitlyn Desjardin
Provider Entity Type
Individual
Gender
Female
Address
Crec-Soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610
Phone Number
860-529-4260
Fax Number
860-257-8500
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2019
Last Update Date
April 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Crec-Soundbridge
123 Progress Drive
Wethersfield, CT 06109-0610
Zip
06109-0610
Phone Number
860-529-4260
Fax Number
860-257-8500
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
Crec-Soundbridge
123 Progress Drive
Wethersfield, CT 06109-2450
City
Wethersfield
State
CT
Zip
06109-2450
Phone Number
860-529-4260

License Information

License Number
000619
License State
CT
Taxonomy
Audiologist · 231H00000X · 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 Kaitlyn Desjardin?

The NPI number of Kaitlyn Desjardin is 1154884047. It was assigned on April 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn Desjardin?

Kaitlyn Desjardin is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in CT under license number 000619.

Where does Kaitlyn Desjardin practice?

The practice location is Crec-Soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610. The office can be reached at 860-529-4260 (phone) or 860-257-8500 (fax).

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 1154884047 directly on the NPPES registry website.

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