Doctor Name: | MRS. DANA MARIE SURENA-MATTSON |
NPI Number: | 1548319460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 003258 |
Business Practice Address: | 11 Forest St Suite 203 New Canaan, CT - 068404745 |
Business Phone Number: | 2039667225 |
Business Fax Number: | 2039201402 |
Mailing Address: | 11 Forest St, Suite 203 NEW CANAAN |
State: | CT |
Postal Code: | 068404745 |
Phone Number: | 2039667225 |
Fax Number: | 2039201402 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003258 |
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 |