Active NPIIndividual provider

Lucas Northern, SLP

Speech-Language Pathologist, in Stamford, Connecticut

NPI Number1396472486
Practice location
30 Buxton Farm RD Ste 230, Stamford, CT 06905-1206
Fax
—
Last updated
August 8, 2022

Lucas Northern is a Speech-Language Pathologist, based in Stamford, CT. Lucas Northern practices in Stamford, CT and has the professional credentials of SLP. The NPI Number for Lucas Northern is 1396472486 and holds a License No. 006772 (CT). The current practice location address for Lucas Northern is 30 Buxton Farm RD Ste 230, Stamford, CT 06905-1206 and can be reached out via phone at 203-212-4191.

Provider Profile Details

NPI Number
1396472486
Provider Name
Lucas Northern
Credential
SLP
Provider Entity Type
Individual
Gender
Male
Address
30 Buxton Farm RD Ste 230, Stamford, CT 06905-1206
Phone Number
203-212-4191
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2022
Last Update Date
August 8, 2022
Certification Date
August 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Buxton Farm RD Ste 230
Stamford, CT 06905-1206
Zip
06905-1206
Phone Number
203-212-4191
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
30 Buxton Farm RD Ste 230
Stamford, CT 06905-1206
City
Stamford
State
CT
Zip
06905-1206

License Information

License Number
006772
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 Lucas Northern, SLP?

The NPI number of Lucas Northern, SLP is 1396472486. It was assigned on August 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Lucas Northern, SLP?

Lucas Northern, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 006772.

Where does Lucas Northern, SLP practice?

The practice location is 30 Buxton Farm RD Ste 230, Stamford, CT 06905-1206. The office can be reached at 203-212-4191 (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 1396472486 directly on the NPPES registry website.

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