Anita Baltayan, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · New Britain, CT

NPI 1013301001 · NPPES record last updated Jun 22, 2022

Key facts

NPI
1013301001
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4964 (CT)
Practice address
2150 Corbin Ave
New Britain, CT 06053-2298
Phone
(860) 827-1958
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4964 CT Yes

Addresses

Primary practice location

2150 Corbin Ave
New Britain, CT 06053-2298

Mailing address

2150 Corbin Ave
New Britain, CT 06053-2266
Phone (860) 827-1958

Other providers in New Britain, CT

All providers in New Britain, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.