Michele Ann Charland, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Prospect, CT
NPI 1871827485 · NPPES record last updated Sep 29, 2009
Key facts
- NPI
- 1871827485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 003665 (CT)
- Practice address
- 4 Summit Rd Ste C
Prospect, CT 06712-1485 - Phone
- (203) 758-0755
- Fax
- (203) 758-0754
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 003665 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Spectrum Therapeutics LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003665 | CT | Yes |
Addresses
Primary practice location
4 Summit Rd Ste C
Prospect, CT 06712-1485
Mailing address
4 Summit Rd Ste C
Prospect, CT 06712-1485
Phone (203) 758-0755
Other providers in Prospect, CT
- Kimberly Louise Bianchini
- Heather Joyce Bloechle
- Dulce Duarte Branco
- Calm and Centered Counseling LLC
- Kenneth Robert Capozzi
- Natasha Chokshi
- Christian Counseling of Greater Waterbury
- Christian Counseling of Greater Waterbury
- Denisa Emilia Ciucci
- Stephen Ciucci
All providers in Prospect, 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 Sep 29, 2009. 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.