Pamela B Tassiello, M.A, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03-354204 Issued in CT

Practice address

11 Hedge Meadow LN
Newtown, CT 06470-1320

Phone

(203) 803-0561

NPI assigned

Aug 15, 2016

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Pamela B Kalish Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1851846216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HEDGE MEADOW LN",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701320",
            "telephone_number": "203-803-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HEDGE MEADOW LN",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701320",
            "telephone_number": "203-803-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSIELLO",
        "first_name": "PAMELA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.A, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "03-354204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KALISH",
            "middle_name": "B",
            "prefix": "MS.",
            "credential": "M.A., CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Newtown, CT
• Providers in Newtown, 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 Aug 15, 2016; 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.