Van Der Voort, Denise B
Van Der Voort, Denise B is an individual health care provider with primary practice located at 850 Bolton Rd , Storrs CT 06269-9020. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Van Der Voort, Denise B can be contacted via phone (860) 486-2629.Contact Information
Primary practice address
850 Bolton Rd
Storrs CT 06269-9020
Phone: (860) 486-2629
Fax: (860) 486-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 001882 | Connecticut |
Profile Details
| NPI number | 1447258645 |
|---|---|
| LBN Legal business name | Van Der Voort, Denise B |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jun 15th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447258645 | NPPES |
| Connecticut | MEDICAID | 4238988 |
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