| Organization Name: | CREATIVE DEVELOPMENT, LLC |
| NPI Number: | 1295928075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEANNE ANDERSON (MANAGING MEMBER) |
| Mailing Address: | 30 Avon Meadow Ln Avon |
| State: | CT US |
| Postal Code: | 060013745 |
| Phone Number: | 8608339905 |
| Fax Number: | 8604092190 |
| NPI Enumeration Date: | 08/24/2007 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 001742 |
| 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 |