Basic Information
| Provider Information | |||||||||
| NPI: | 1235145095 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MELTSER | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | J. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 SPRING LN | ||||||||
| Address2: | |||||||||
| City: | WEST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061073342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605218048 | ||||||||
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| Practice Location | |||||||||
| Address1: | 22 TOMPKINS ST | ||||||||
| Address2: | |||||||||
| City: | WATERBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067081417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034190381 | ||||||||
| FaxNumber: | 2034190389 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 003602 | CT | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.