Active NPIIndividual provider

Mary K Drenzek, MS CCC-SLP

Speech-Language Pathologist, in West Suffield, Connecticut

NPI Number1649795972
Practice location
1486 Mountain RD, West Suffield, CT 06093-3306
Fax
—
Last updated
June 18, 2020

Mary Katherine Drenzek is a Speech-Language Pathologist, based in West Suffield, CT. Mary Katherine Drenzek practices in West Suffield, CT and has the professional credentials of MS CCC-SLP. The NPI Number for Mary Katherine Drenzek is 1649795972 and holds a License No. 146013682 (IL). The current practice location address for Mary Katherine Drenzek is 1486 Mountain RD, West Suffield, CT 06093-3306 and can be reached out via phone at 860-292-0376.

Provider Profile Details

NPI Number
1649795972
Provider Name
Mary Katherine Drenzek
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1486 Mountain RD, West Suffield, CT 06093-3306
Phone Number
860-292-0376
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2017
Last Update Date
June 18, 2020
Certification Date
June 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1486 Mountain RD
West Suffield, CT 06093-3306
Zip
06093-3306
Phone Number
860-292-0376
West Suffield, CT 06093Get directions →

Provider Business Mailing Address Details

Address
1486 Mountain RD
West Suffield, CT 06093-3306
City
West Suffield
State
CT
Zip
06093-3306
Phone Number
860-292-0376

License Information

License Number
146013682
License State
IL
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 Mary K Drenzek, MS CCC-SLP?

The NPI number of Mary K Drenzek, MS CCC-SLP is 1649795972. It was assigned on August 8, 2017 and is currently active in the NPPES registry.

What is the specialty of Mary K Drenzek, MS CCC-SLP?

Mary K Drenzek, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in IL under license number 146013682.

Where does Mary K Drenzek, MS CCC-SLP practice?

The practice location is 1486 Mountain RD, West Suffield, CT 06093-3306. The office can be reached at 860-292-0376 (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 1649795972 directly on the NPPES registry website.

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