MEDICARE: MRS. LISA BETH LANGWEIL M.S.,CCC/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	002504	CT

General Provider Information

NPI Number	:	1023465341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA BETH LANGWEIL M.S.,CCC/SLP

Provider Business Mailing Address
First Line	:	1 OLD MILL LN
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-1537
Country	:	US
Telephone Number	:	860-604-8119
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 OLD MILL LN
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-1537
Country	:	US
Telephone Number	:	860-604-8119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	02/17/2026

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