Linda Beach Bouffard, MS,CCC,SLP
Individual provider Active NPI Speech-Language Pathologist · Enfield, CT
NPI 1831439124 · NPPES record last updated Feb 22, 2013
Key facts
- NPI
- 1831439124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 001053 (CT)
- Practice address
- 612 Hazard Ave
Enfield, CT 06082-4225 - Phone
- (860) 749-8388
- NPI assigned
- Feb 22, 2013
- 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 |
|---|---|---|---|
| 001053 | CT | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001053 | CT | Yes |
Addresses
Primary practice location
612 Hazard Ave
Enfield, CT 06082-4225
Mailing address
30 Sunrise Hill Dr
West Hartford, CT 06107-3348
Phone (860) 305-6613
Other providers in Enfield, CT
- Cailyn Eve Bolduc
- Kenneth Borkowski
- Bridget Garrity Bortz
- Elise Bosco
- Rachel Boucher
- Katherine Ann Bouley
- Robert Wayne Bouley
- Stefanie Bourassa
- Michele Marie Trela Bowdy
- Tashima Bowe-Wilson
All providers in Enfield, 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 22, 2013. 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.