Doctor Name: | MS. MARY R CREAN |
NPI Number: | 1942436720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, CCC-SLP |
License Number: | 001983 |
Business Practice Address: | 267 Grant St Bridgeport, CT - 066102805 |
Business Phone Number: | 2033843330 |
Business Fax Number: | |
Mailing Address: | 150 Wilson Rd, EASTON |
State: | CT |
Postal Code: | 066121621 |
Phone Number: | 2032681405 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2009 |
NPI Last Update Date: | 06/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001983 |
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 |