Emily Potrzeba, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hampton, CT
NPI 1881244093 · NPPES record last updated Sep 19, 2019
Key facts
- NPI
- 1881244093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 005326 (CT)
- Practice address
- 354 Hartford Tpke
Hampton, CT 06247-1320 - Phone
- (860) 455-1404
- Fax
- (860) 455-1404
- NPI assigned
- Sep 19, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005326 | CT | Yes |
Addresses
Primary practice location
354 Hartford Tpke
Hampton, CT 06247-1320
Mailing address
354 Hartford Tpke
Hampton, CT 06247-1320
Phone (860) 455-1404
Other providers in Hampton, CT
- Perry Nicholas Mandanis
- Antonia Brancia Maxon
- Paul Nash
- New England Center for Hearing
- New England Center for Hearing Rehabilitation
- Nicole K Salisbury
- Kiersten E Sirowich
- Rebecca Swagger
All providers in Hampton, 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 19, 2019. 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.