Deborah Jane Hunsicker I

Individual provider Active NPI Speech-Language Pathologist · Ivoryton, CT

NPI 1962044859 · NPPES record last updated Oct 11, 2019

Key facts

NPI
1962044859
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
001785 (CT)
Practice address
4 Terrace LN
Ivoryton, CT 06442-1219
Phone
(860) 767-7385
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
001785CTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 001785 CT Yes

Addresses

Primary practice location

4 Terrace LN
Ivoryton, CT 06442-1219

Mailing address

4 Terrace LN
Ivoryton, CT 06442-1219
Phone (860) 767-7385

Other providers in Ivoryton, CT

All providers in Ivoryton, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.