Brookfield Speech and Language, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002557 Issued in CT

Legal business name

BROOKFIELD SPEECH AND LANGUAGE, LLC

Practice address

499 Federal Rd
Unit 13
Brookfield, CT 06804-2041

Phone

(203) 740-0932

Fax

(203) 740-2880

NPI assigned

Jan 6, 2012

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorian Leigh Cundari, M.A., CCC-SLP, TSHH

Title

Owner/Member; Speech/Language Path

Phone

(203) 740-0932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1821368978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 FEDERAL RD",
            "address_2": "UNIT 13",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042041",
            "telephone_number": "203-740-0932",
            "fax_number": "203-740-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 FEDERAL RD",
            "address_2": "UNIT 13",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042041",
            "telephone_number": "203-740-0932",
            "fax_number": "203-740-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD SPEECH AND LANGUAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "CUNDARI",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/MEMBER;  SPEECH/LANGUAGE PATH",
        "authorized_official_telephone_number": "203-740-0932",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP, TSHH"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.