Active NPIOrganization

Speech Pathology Group LLC

Speech-Language Pathologist, in Shelton, Connecticut

NPI Number1639555881
Practice location
10 Progress Dr Ste 2B, Shelton, CT 06484-6294
Fax
—
Last updated
July 31, 2024

Speech Pathology Group LLC is a healthcare organization based in Shelton, CT. Speech Pathology Group LLC practices in Shelton, CT. The NPI Number for Speech Pathology Group LLC is 1639555881 and holds a License No. 003727 (CT). The current practice location address for Speech Pathology Group LLC is 10 Progress Dr Ste 2B, Shelton, CT 06484-6294 and can be reached out via phone at 475-239-5512.

Provider Profile Details

NPI Number
1639555881
Provider Name
Speech Pathology Group LLC
Provider Entity Type
Organization
Address
10 Progress Dr Ste 2B, Shelton, CT 06484-6294
Phone Number
475-239-5512
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Organization Subpart
No
Authorized Official
Jennifer Samorajczyk · Billing · 475-239-5512
Provider Enumeration Date
August 10, 2015
Last Update Date
July 31, 2024
Certification Date
July 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Progress Dr Ste 2B
Shelton, CT 06484-6294
Zip
06484-6294
Phone Number
475-239-5512
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
10 Progress Dr Ste 2B
Shelton, CT 06484-6294
City
Shelton
State
CT
Zip
06484-6294
Phone Number
475-239-5512

License Information

Taxonomy (1)
Physical Therapist · 225100000X
Taxonomy (2)
Occupational Therapist · 225X00000X
License Number (3)
003727
License State (3)
CT
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X
Taxonomy (4)
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 Speech Pathology Group LLC?

The NPI number of Speech Pathology Group LLC is 1639555881. It was assigned on August 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Speech Pathology Group LLC?

Speech Pathology Group LLC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 003727.

Where does Speech Pathology Group LLC practice?

The practice location is 10 Progress Dr Ste 2B, Shelton, CT 06484-6294. The office can be reached at 475-239-5512 (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 1639555881 directly on the NPPES registry website.

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