Diane Brackett in Moosup - Speech-language Pathologist
Diane Brackett - NPI 1285780379
Diane Brackett is a Speech-language Pathologist in Moosup, Connecticut. Diane Brackett practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Diane Brackett is 1285780379. The last update date is 2014-11-17.
Diane Brackett's current location address is 173 Pond Hill Rd, Moosup, Connecticut. You can contact this provider via phone number 8605641508. The mailing address for Diane Brackett is 173 Pond Hill Rd, Moosup, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Brackett |
|---|---|
| Address | 173 Pond Hill Rd, Moosup, Connecticut |
| Phone Number | 8605641508 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1285780379 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2014-11-17 |
Provider Mailing Address Detail
| Address | 173 Pond Hill Rd |
|---|---|
| City | Moosup |
| State | Connecticut (CT) |
| Post Code | 63541836 |
| Phone Number | 8605641508 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 359 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Diane Brackett's 1285780379?
The Diane Brackett's NPI (National Provider Identifier) Number is 1285780379. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Diane Brackett is physically located?
The Diane Brackett is situated at the following address: 173 Pond Hill Rd, Moosup, CT 63541836.
What is the Diane Brackett's specialty and taxonomy code?
The Diane Brackett's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did Diane Brackett receive its 1285780379 assignment from the Centers for Medicare & Medicaid Services?
The Diane Brackett was assigned its 1285780379 on 2007-01-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Diane Brackett most recently updated or revised?
The information pertaining to Diane Brackett, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-17.