Annabell Perez Gwiazdoski, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003319 Issued in CT

Practice address

312 Park Rd Ste 201
West Hartford, CT 06119-2017

Phone

(860) 523-9790

Fax

(860) 523-1277

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pediatric and Adolescent Speech Therapy Associates

  • Speech-Language Pathologist
  • West Hartford, CT
  • NPI 1295686087
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1679031744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PARK RD STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192017",
            "telephone_number": "860-523-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PARK RD STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192017",
            "telephone_number": "860-523-9790",
            "fax_number": "860-523-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIAZDOSKI",
        "first_name": "ANNABELL",
        "middle_name": "PEREZ",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmuda Gulshan
• Abigail Elizabeth Gurall, M.D.
• Frances B Gurtman, MD
• Michael Bentov Gutman, MD
• Claudia L Guynn, APRN
• Vivian Kotler Haas, MA
• Mischa Hadaway
• Jessica L Haggett, APRN
• Mahlon Hale, MD
• Sarah Hale, DPT

• Speech-Language Pathologist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.