Kaelyn Bonaventura
Speech-Language Pathologist, in Stratford, Connecticut
1205610599- Practice location
- 120 Old Coach Ln, Stratford, CT 06614-1626
- Phone
- 203-522-0646
- Fax
- —
- Last updated
- August 21, 2023
Kaelyn Bonaventura is a Speech-Language Pathologist, based in Stratford, CT. Kaelyn Bonaventura practices in Stratford, CT. The NPI Number for Kaelyn Bonaventura is 1205610599 and holds a License No. 4853 (CT). The current practice location address for Kaelyn Bonaventura is 120 Old Coach Ln, Stratford, CT 06614-1626 and can be reached out via phone at 203-522-0646.
Provider Profile Details
- NPI Number
- 1205610599
- Provider Name
- Kaelyn Bonaventura
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Old Coach Ln, Stratford, CT 06614-1626
- Phone Number
- 203-522-0646
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 21, 2023
- Last Update Date
- August 21, 2023
- Certification Date
- August 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Old Coach Ln
Stratford, CT 06614-1626 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-1626
- Phone Number
- 203-522-0646
Provider Business Mailing Address Details
- Address
- 120 Old Coach Ln
Stratford, CT 06614-1626 - City
- Stratford
- State
- CT
- Zip
- 06614-1626
License Information
- License Number
- 4853
- License State
- CT
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Stratford, CT
View all Speech-Language Pathologist, providers in Stratford →- Adriana Chamberlain, SLPSpeech-Language Pathologist, · NPI 1275702052
- Chat With Tots, LLCSpeech-Language Pathologist, · NPI 1780366336
- Communicate Anew LLCSpeech-Language Pathologist, · NPI 1114586674
- Elizabeth Benz, SLPSpeech-Language Pathologist, · NPI 1275065294
- Emily Weiner, MS CCC-SLPSpeech-Language Pathologist, · NPI 1992273247
- Florette Pursell, MS CCC-SLPSpeech-Language Pathologist, · NPI 1811623705
Frequently Asked Questions
What is the NPI number of Kaelyn Bonaventura?
The NPI number of Kaelyn Bonaventura is 1205610599. It was assigned on August 21, 2023 and is currently active in the NPPES registry.
What is the specialty of Kaelyn Bonaventura?
Kaelyn Bonaventura is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 4853.
Where does Kaelyn Bonaventura practice?
The practice location is 120 Old Coach Ln, Stratford, CT 06614-1626. The office can be reached at 203-522-0646 (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 1205610599 directly on the NPPES registry website.