| Dr Diane Brackett, PHD | |
|
354 Hartford Tpke, Hampton, CT 06247-1320 | |
| (860) 455-1404 | |
| (860) 455-1396 |
| Full Name | Dr Diane Brackett |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 48 Years |
| Location | 354 Hartford Tpke, Hampton, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285780379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 000359 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New England Center For Hearing Rehabilitation Llc | 2062710478 | 2 |
| Provider Name | New England Center for Hearing Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679932925 PECOS PAC ID: 2062710478 Enrollment ID: O20160419001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane Brackett, PHD 173 Pond Hill Rd, Moosup, CT 06354-1836 Ph: (860) 564-1508 | Dr Diane Brackett, PHD 354 Hartford Tpke, Hampton, CT 06247-1320 Ph: (860) 455-1404 |
Eliana Bar-shalom, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 376 Hartford Tpke, Hampton, CT 06247 Phone: 860-455-0707 Fax: 860-455-8002 |
Emily Potrzeba, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 354 Hartford Tpke, Hampton, CT 06247 Phone: 860-455-1404 Fax: 860-455-1404 |