| Kacie Wittke, CCC-SLP | |
|
850 Bolton Rd, Storrs Mansfield, CT 06269-9020 | |
| (860) 486-2817 | |
| Not Available |
| Full Name | Kacie Wittke |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 850 Bolton Rd, Storrs Mansfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407321052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 004492 (Connecticut) | Primary |
| Provider Name | University Of Connecticut Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| Provider Name | The University Of Connecticut |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114011830 PECOS PAC ID: 2062507817 Enrollment ID: O20220706000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Kacie Wittke, CCC-SLP 850 Bolton Rd, Storrs Mansfield, CT 06269-9020 Ph: (860) 486-2817 | Kacie Wittke, CCC-SLP 850 Bolton Rd, Storrs Mansfield, CT 06269-9020 Ph: (860) 486-2817 |
Wendy Marshall Chase, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 850 Bolton Rd Unit 1085, Storrs Mansfield, CT 06269 Phone: 860-486-3265 Fax: 860-486-4948 | |
Sabrina Hosmer, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 143 Fern Rd, Storrs Mansfield, CT 06268 Phone: 860-550-2059 |