Doctor Name: | MISS LINDSEY ERIN DAGATA |
NPI Number: | 1871850990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 004389 |
Business Practice Address: | 451 N High St East Haven, CT - 065121555 |
Business Phone Number: | 2034666850 |
Business Fax Number: | 2034665848 |
Mailing Address: | 64 Nesbit Avenue, WEST HARTFORD |
State: | CT |
Postal Code: | 06119 |
Phone Number: | 2034666850 |
Fax Number: | 2034665848 |
NPI Enumeration Date: | 04/13/2012 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004389 |
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 |