Active NPIIndividual providerSole proprietor

Heather M Mangold, MS, CCC-SLP

Speech-Language Pathologist, in Ellington, Connecticut

NPI Number1235418013
Practice location
26 Windmill RD, Ellington, CT 06029-2121
Fax
—
Last updated
August 28, 2011

Heather M Mangold is a Speech-Language Pathologist, based in Ellington, CT. Heather M Mangold practices in Ellington, CT and has the professional credentials of MS, CCC-SLP. The NPI Number for Heather M Mangold is 1235418013 and holds a License No. 003704 (CT). The current practice location address for Heather M Mangold is 26 Windmill RD, Ellington, CT 06029-2121 and can be reached out via phone at 860-871-7749.

Provider Profile Details

NPI Number
1235418013
Provider Name
Heather M Mangold
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
26 Windmill RD, Ellington, CT 06029-2121
Phone Number
860-871-7749
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 10, 2011
Last Update Date
August 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Windmill RD
Ellington, CT 06029-2121
Zip
06029-2121
Phone Number
860-871-7749
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
26 Windmill RD
Ellington, CT 06029-2121
City
Ellington
State
CT
Zip
06029-2121
Phone Number
860-871-7749

License Information

License Number
003704
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 Heather M Mangold, MS, CCC-SLP?

The NPI number of Heather M Mangold, MS, CCC-SLP is 1235418013. It was assigned on August 10, 2011 and is currently active in the NPPES registry.

What is the specialty of Heather M Mangold, MS, CCC-SLP?

Heather M Mangold, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 003704.

Where does Heather M Mangold, MS, CCC-SLP practice?

The practice location is 26 Windmill RD, Ellington, CT 06029-2121. The office can be reached at 860-871-7749 (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 1235418013 directly on the NPPES registry website.

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