| Pamela Johnson Desimone, MS CCC-SLP | |
|
1145 Poquonnock Rd, Groton, CT 06340-4620 | |
| (860) 446-3134 | |
| Not Available |
| Full Name | Pamela Johnson Desimone |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 17 Years |
| Location | 1145 Poquonnock Rd, Groton, 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 |
|---|---|---|---|
| 1760758247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 004011 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inspire Physical Therapy And Wellness, Llc | 4688073448 | 11 |
| Provider Name | Inspire Physical Therapy And Wellness, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1548847221 PECOS PAC ID: 4688073448 Enrollment ID: O20210527000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Johnson Desimone, MS CCC-SLP 1145 Poquonnock Rd, Groton, CT 06340-4620 Ph: () - | Pamela Johnson Desimone, MS CCC-SLP 1145 Poquonnock Rd, Groton, CT 06340-4620 Ph: (860) 446-3134 |
Mrs. Dawn Mingione, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 145 Pleasant Valley Rd S, Groton, CT 06340 Phone: 860-235-0666 | |
Mrs. Audra Marie Wilks, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-9960 | |
Kelley Bean, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 27 Noble Ave Unit 3, Groton, CT 06340 Phone: 413-265-1813 | |
Erin Lynne Mullane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-9960 | |
Kaileigh Lear, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 135 Ledgewood Rd Apt 302, Groton, CT 06340 Phone: 860-287-1375 | |
Elizabeth Ann Preston, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 235 Lestertown Rd, Groton, CT 06340 Phone: 860-445-7487 |