Active NPI
Mary R Crean, M.S, CCC-SLP
- Speech-Language Pathologist
- Bridgeport, CT
National Provider Identifier
1942436720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001983
- Practice address
- 267 Grant St
Bridgeport, CT 06610-2805 - Phone
- (203) 384-3330
- NPI assigned
- Jun 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001983 | CT | Primary |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
150 Wilson Rd
Easton, CT 06612-1621
Phone (203) 268-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001983 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244246400000",
"number": "1942436720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WILSON RD",
"city": "EASTON",
"state": "CT",
"postal_code": "066121621",
"telephone_number": "203-268-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-384-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAN",
"first_name": "MARY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-06",
"last_updated": "2009-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "001983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.