Healthcare Provider Details

I. General information

NPI: 1629894464
Provider Name (Legal Business Name): LITTLE MONKEY SPEECH AND FEEDING THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 01/25/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MAIN STREET BUILDING 5, SUITE 6
MONROE CT
06468-2830
US

IV. Provider business mailing address

36 OAK WOOD DR
MONROE CT
06468-2134
US

V. Phone/Fax

Practice location:
  • Phone: 202-212-8606
  • Fax: 203-659-8017
Mailing address:
  • Phone: 203-212-8606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: SARAH JORDAN
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: MA, CCC-SLP CBS
Phone: 203-212-8606