Provider Type Icon

SUPERCALIFRAGILISTIC SPEECH LANGUAGE THERAPY INC. NPI 1366979502


NPI Information

NPI: 1366979502
Provider Name: SUPERCALIFRAGILISTIC SPEECH LANGUAGE THERAPY INC.
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1204 MAIN ST # 218
BRANFORD, CT
ZIP 06405
Phone: (203) 208-8377
Get Directions

SUPERCALIFRAGILISTIC SPEECH LANGUAGE THERAPY INC. is a speech language pathologist in Branford, CT. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SUPERCALIFRAGILISTIC SPEECH LANGUAGE THERAPY INC. NPI is 1366979502. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1204 MAIN ST # 218
BRANFORD, CT
ZIP 06405-787
Phone: (203) 208-8377

The provider's authorized official is Briana O'neill .
The authorized official title is Ceo/founder and has the following contact phone number (203) 500-0969.

The enumeration date for this NPI number is 5/18/2017 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist4809CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113500248OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.