| Suffield Speech Therapy Llc | |
|
1486 Mountain Rd, West Suffield, CT 06093-3306 | |
| (860) 292-0376 | |
| Not Available |
| Full Name | Suffield Speech Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1486 Mountain Rd, West Suffield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821762444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Mary Drenzek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649795972 PECOS PAC ID: 1456837905 Enrollment ID: I20260114003229 |
| Mailing Address | Practice Location Address |
|---|---|
| Suffield Speech Therapy Llc 134 Prospect St, Suffield, CT 06078-2017 Ph: (860) 539-6695 | Suffield Speech Therapy Llc 1486 Mountain Rd, West Suffield, CT 06093-3306 Ph: (860) 292-0376 |
Mary Katherine Drenzek, MS CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1486 Mountain Rd, West Suffield, CT 06093 Phone: 860-292-0376 |
Kaitlyn Marie Rome, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Apple Ln, West Suffield, CT 06093 Phone: 860-748-1346 |