Melissa Barra
Individual provider Active NPI Speech-Language Pathologist · Wallingford, CT
NPI 1801389176 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1801389176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002827 (CT)
- Practice address
- 300 Church St Ste 102
Wallingford, CT 06492-2253 - Phone
- (203) 410-0974
- NPI assigned
- Jun 12, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002827 | CT | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002827 | CT | Yes |
Addresses
Primary practice location
300 Church St Ste 102
Wallingford, CT 06492-2253
Mailing address
300 Church St Ste 102
Wallingford, CT 06492-2253
Phone (203) 410-0974
Other providers in Wallingford, CT
- Rebecca Balemian
- Lisa Marie Bankowski
- Elizabeth E Barfield
- Doreen Gail Barile
- Breanna Lynn Barra
- Kristie Barry-Ayres
- Michele Palmucci Barry
- Matthew Basile
- Charlston Bath
- Morgan Heather Bau
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 Jun 12, 2018. 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.