| Brenna Catherine Crockwell, AUD | |
|
2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 | |
| (203) 264-8201 | |
| Not Available |
| Full Name | Brenna Catherine Crockwell |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 2 Pomperaug Office Park Ste 307, Southbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598501918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 776 (Connecticut) | Primary |
| Provider Name | Southbury Audiology Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932575610 PECOS PAC ID: 9931419348 Enrollment ID: O20151113000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenna Catherine Crockwell, AUD 2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 Ph: (203) 264-8201 | Brenna Catherine Crockwell, AUD 2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 Ph: (203) 264-8201 |
Stephanie L. Bakewell, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488 Phone: 203-264-8201 Fax: 203-264-8201 | |
Southbury Audiology Llc Audiologist Medicare: Medicare Enrolled Practice Location: 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488 Phone: 203-264-8201 Fax: 203-264-8201 |