Blain, Donna Marie

Blain, Donna Marie is an individual health care provider with primary practice located at 139 N Main St , West Hartford CT 06107-1264. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Blain, Donna Marie can be contacted via phone (860) 557-2227.

Contact Information

Primary practice address
139 N Main St West Hartford CT 06107-1264
Phone: (860) 557-2227
Fax: (860) 570-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000264 Connecticut
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 000264 Connecticut
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 000264 Connecticut
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 000264 Connecticut

Profile Details

NPI number 1780904185
LBN Legal business name Blain, Donna Marie
Credentials M.A., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Jun 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780904185 NPPES
Connecticut MEDICAID 004170726

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