Jennifer P Ryan
Individual provider Active NPI Speech-Language Pathologist · Durham, CT
NPI 1255778296 · NPPES record last updated May 31, 2013
Key facts
- NPI
- 1255778296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002551 (CT)
- Practice address
- 809 New Haven Rd
Durham, CT 06422-2412 - Phone
- (860) 349-1041
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002551 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connectcare | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002551 | CT | Yes |
Addresses
Primary practice location
809 New Haven Rd
Durham, CT 06422-2412
Mailing address
44 Autumn Ridge Rd
Guilford, CT 06437-1258
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- April J Prete
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- Jessica Reichbind
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- Holly Simon
- Frances Sites
- Jack Surgenor
All providers in Durham, 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 May 31, 2013. 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.