Healthcare Provider Details

I. General information

NPI: 1508077413
Provider Name (Legal Business Name): NEW ENGLAND CENTER FOR HEARING REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 LEDGEBROOK DR
MANSFIELD CENTER CT
06250-1664
US

IV. Provider business mailing address

33 LEDGEBROOK DR
MANSFIELD CENTER CT
06250-1664
US

V. Phone/Fax

Practice location:
  • Phone: 860-455-1404
  • Fax: 860-455-1396
Mailing address:
  • Phone: 860-455-1404
  • Fax: 860-455-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number000359
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIN DILAJ
Title or Position: CO-OWNER
Credential: PHD, AUD
Phone: 860-455-1404