Doctor Name: | ANNE L SEABOLDT |
NPI Number: | 1205089158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 003940 |
Business Practice Address: | 15 Pondfield Rd New Fairfield, CT - 068122652 |
Business Phone Number: | 2037468084 |
Business Fax Number: | 2037468084 |
Mailing Address: | 15 Pondfield Rd, NEW FAIRFIELD |
State: | CT |
Postal Code: | 068122652 |
Phone Number: | 2037468084 |
Fax Number: | 2037468084 |
NPI Enumeration Date: | 10/23/2008 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003940 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |