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 |
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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 |
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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 |