Beth W Conley, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Norwich, CT
NPI 1649299082 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649299082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002505 (CT)
- Practice address
- 111 Salem Tpke
Norwich, CT 06360-6459 - Phone
- (860) 823-6317
- Fax
- (860) 823-6540
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Senior Living LLC
Practice addresses (Care Compare)
1450 Whitney Ave
Hamden, CT 06517-2451
Phone (203) 208-6815
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251219002256 | CT | Practitioner - Qualified Speech Language Pathologist | 2860987567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002505 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Reliant Senior Living LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002505 | CT | Yes |
Addresses
Primary practice location
111 Salem Tpke
Norwich, CT 06360-6459
Mailing address
4 Teddy LN
Norwich, CT 06360-6424
Phone (860) 889-8331
Other providers in Norwich, CT
- Mary Ellen Comolli
- Comprehensive Psychiatric Care PC
- Concentra Health Services, Inc.
- Anthony D Congiusta
- Emily Conine
- Daniel Robert Connaughty
- Connecticut CVS Pharmacy LLC
- Connecticut Neuropsychological Associates, LLC
- Connecticut Oral Facial & Cosmetic Surgery PLLC
- Connecticut Surgical Arts, LLC
All providers in Norwich, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.