Doctor Name: | KAREN VELLEMAN |
NPI Number: | 1336216969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 002682 |
Business Practice Address: | 701 Cottage Grove Rd Suite E130 Bloomfield, CT - 060023059 |
Business Phone Number: | 8602860838 |
Business Fax Number: | 8602860109 |
Mailing Address: | 701 Cottage Grove Rd, Suite E130 BLOOMFIELD |
State: | CT |
Postal Code: | 060023059 |
Phone Number: | 8602860838 |
Fax Number: | 8602860109 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 002682 |
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 |