Doctor Name: | ANNEMARIE JORDAN |
NPI Number: | 1033454160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 001281 |
Business Practice Address: | 87 Old Farms Rd Avon, CT - 060014234 |
Business Phone Number: | 8606730636 |
Business Fax Number: | |
Mailing Address: | 87 Old Farms Rd, AVON |
State: | CT |
Postal Code: | 060014234 |
Phone Number: | 8606730636 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |