Patricia Mercurio Amodei, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wallingford, CT
NPI 1710792148 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1710792148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 004119 (CT)
- Practice address
- 300 Church Street
Unit 102
Wallingford, CT 06492 - Phone
- (203) 410-0974
- Fax
- (888) 980-7890
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004119 | CT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004119 | CT | Yes |
Addresses
Primary practice location
300 Church Street
Unit 102
Wallingford, CT 06492
Mailing address
275 Sorghum Mill Drive
Cheshire, CT 06410
Phone (203) 606-4369
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All providers in Wallingford, 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 12, 2025. 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.