Jane Mackie Syme
Individual provider Active NPI Speech-Language Pathologist · Ivoryton, CT
NPI 1659836732 · NPPES record last updated Feb 4, 2019
Key facts
- NPI
- 1659836732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00612 (CT)
- Practice address
- 65 Main St Unit 29
Ivoryton, CT 06442-1031 - Phone
- (860) 575-5724
- NPI assigned
- Feb 4, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00612 | CT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00612 | CT | Yes |
Addresses
Primary practice location
65 Main St Unit 29
Ivoryton, CT 06442-1031
Mailing address
65 Main St Unit 29
Ivoryton, CT 06442-1031
Phone (860) 575-5724
Other providers in Ivoryton, CT
- Renee Lacourciere
- Katherine Lee Lempicki
- Diane O'Brien
- Prive-Swiss Inc
- Brittany Amber Ray
- Marlene Verderame
- Kristen Clark Vollaro
All providers in Ivoryton, 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 Feb 4, 2019. 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.