Fairfield County Speech Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003066 Issued in CT

Legal business name

FAIRFIELD COUNTY SPEECH CENTER, LLC

Practice address

84 Toilsome Ave
Norwalk, CT 06851-2428

Phone

(203) 845-0084

Fax

(203) 845-0084

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Anne Marie Luciano Martini

Title

Owner

Phone

(203) 845-0084

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1851668107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 TOILSOME AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 TOILSOME AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512428",
            "telephone_number": "203-845-0084",
            "fax_number": "203-845-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY SPEECH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "ANNE MARIE",
        "authorized_official_middle_name": "LUCIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-845-0084"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.