Joseph Abraham

Individual provider Active NPI Speech-Language Pathologist · Cromwell, CT

NPI 1649950569 · NPPES record last updated Jul 25, 2023

Key facts

NPI
1649950569
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
110 Court St Ste 3B
Cromwell, CT 06416-1273
Phone
(860) 613-9930
NPI assigned
Jul 25, 2023
Sex
Male
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

Specialties & licenses

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

Addresses

Primary practice location

110 Court St Ste 3B
Cromwell, CT 06416-1273

Mailing address

110 Court St Ste 3B
Cromwell, CT 06416-1273
Phone (860) 613-9930

Other providers in Cromwell, CT

All providers in Cromwell, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.