Jaely Manso
Individual provider Active NPI Speech-Language Pathologist · Windsor Locks, CT
NPI 1144098237 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1144098237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 14 Main St
Windsor Locks, CT 06096-2307 - Phone
- (860) 856-0739
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
14 Main St
Windsor Locks, CT 06096-2307
Mailing address
14 Main St
Windsor Locks, CT 06096-2307
Phone (860) 856-0739
Other providers in Windsor Locks, CT
- Anaisia Nicole Lindsey
- Nathan J Loeffler
- Scarlette Michelle Lowderback
- Samy A Mabrouk
- Ayaz Mahmood
- Maple Counseling & Wellness
- Elizabeth Martin
- David William McMullen
- Moe Move Medical
- Nehemie Moise Jimerson
All providers in Windsor Locks, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.