Interact Speech Therapy, LLC
Organization Active NPI Speech-Language Pathologist · Redding, CT
NPI 1821860123 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1821860123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- INTERACT SPEECH THERAPY, LLC
- Practice address
- 59 Deer Hill Rd
Redding, CT 06896-2312 - Phone
- (203) 993-5711
- NPI assigned
- Oct 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Liz Desantis Correa
- Title
- Owner/SLP
- Phone
- (203) 993-5711
Practitioners 1
-
Elizabeth M Desantis-Correa, MS CCC SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240626002854 | CT | Part B Supplier - Clinic/Group Practice | 8628512027 |
Receives reassigned benefits from 1 practitioner Practice locations: Redding, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
59 Deer Hill Rd
Redding, CT 06896-2312
Mailing address
59 Deer Hill Rd
Redding, CT 06896-2312
Phone (203) 993-5711
Other names
- Elizabeth DeSantis Correa MS CCC SLP
Other providers in Redding, CT
- Claudia Beth Gruss
- Emabel C Gund
- Anne M Hero
- Abigail V Holt
- Aissa Elizabeth Inskeep
- Joel Barlow High School
- Manmohan Komal
- Robert Koorn
- Rosalind Kopfstein
- Lisa Falk Leibowitz
All providers in Redding, 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 Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.