Michelle Anzures, MA SLP-CCC

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

NPI 1689296428 · NPPES record last updated May 14, 2020

Key facts

NPI
1689296428
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5423 (CT)
Practice address
65 Loomis Rd
Bolton, CT 06043-7829
Phone
(860) 559-0752
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Talkers Inc Speech-Language Pathologist Current
since May 17, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5423 CT Yes

Addresses

Primary practice location

65 Loomis Rd
Bolton, CT 06043-7829

Mailing address

111 Sheldon Rd # 1302
Manchester, CT 06042-9994

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address info@tinytalkersinc.com Health Information Exchange (HIE)

Other providers in Bolton, CT

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

Sources for this page

Verify at the official NPI Registry.