Melanie Adittya

Individual provider Active NPI Speech-Language Pathologist · West Hartford, CT

NPI 1548849458 · NPPES record last updated Jul 26, 2024

Key facts

NPI
1548849458
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
007661 (CT)
Practice address
345 N Main St Ste 260
West Hartford, CT 06117-2508
Phone
(203) 816-0091
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
007661CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Developmental Therapies PA Past
since Jun 2, 2024
Accepting new patients
Springtide Child Development, Inc. Speech-Language Pathologist Past
since Jun 2, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 007661 CT Yes

Addresses

Primary practice location

345 N Main St Ste 260
West Hartford, CT 06117-2508

Mailing address

61 Stafford Ave
Newington, CT 06111-3434
Phone (978) 875-4037

Other providers in West Hartford, CT

All providers in West Hartford, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.