Healthcare Provider Details

I. General information

NPI: 1801413208
Provider Name (Legal Business Name): SPEAKING NATURALLEE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 FOOTHILLS WAY
BLOOMFIELD CT
06002-1614
US

IV. Provider business mailing address

12 FOOTHILLS WAY
BLOOMFIELD CT
06002-1614
US

V. Phone/Fax

Practice location:
  • Phone: 860-670-1040
  • Fax:
Mailing address:
  • Phone: 860-670-1040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. LLEE AANEE SHANGASE
Title or Position: MEMBER
Credential: MS, CCC-SLP
Phone: 860-670-1040