Alisa Lynn Ruggiero, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · East Granby, CT
NPI 1972709202 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972709202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 003052 (CT)
- Practice address
- 14 Seneca Dr
East Granby, CT 06026-9772 - Phone
- (860) 413-9157
- NPI assigned
- Jun 24, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003052 | CT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003052 | CT | Yes |
Addresses
Primary practice location
14 Seneca Dr
East Granby, CT 06026-9772
Mailing address
14 Seneca Dr
East Granby, CT 06026-9772
Phone (860) 413-9157
Other providers in East Granby, CT
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- Elliot S Pollack
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- Anne M Reiher
- Lindsey M Rohner
- Tejal Kothari Shaikh
- Perry M Siegel
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- Laura Smith
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All providers in East Granby, 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 Jul 8, 2007. 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.