| Doctor Name: | MR. CHARLES DOMINICK STAGNITTI |
| NPI Number: | 1770747289 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS CCC-SLP |
| License Number: | 0081827 |
| Business Practice Address: | 601 River St Windsor, CT - 060951325 |
| Business Phone Number: | 8602989079 |
| Business Fax Number: | 8602988413 |
| Mailing Address: | 185 W Bass Ln, SUFFIELD |
| State: | CT |
| Postal Code: | 060781955 |
| Phone Number: | 8606681948 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2008 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0081827 |
| 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 |