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NPI Code Detail

MEDICARE: MRS. KRISTIN E'LISE PARENTEAU

MEDICARE: MRS. KRISTIN E'LISE PARENTEAU
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
1235Z00000XSpeech-Language Pathologist002900CT

General Provider Information

NPI Number : 1336777374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN E'LISE PARENTEAU
Provider Business Mailing Address
First Line : 999 ORONOQUE LN
Second Line :
City : STRATFORD
State : CT
Zip : 06614-1379
Country : US
Telephone Number : 203-870-2022
Fax Number : 203-386-1144
Provider Business Practice Location Address
First Line : 256 NEW BRITAIN AVE
Second Line :
City : NEWINGTON
State : CT
Zip : 06111-4416
Country : US
Telephone Number : 860-666-5689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 03/27/2020

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Directions to “ MRS. KRISTIN E'LISE PARENTEAU ” Practice Location

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