Vega, Carissa
Vega, Carissa is an individual health care provider with primary practice located at 60 Connolly Pkwy Bldg 17A , Hamden CT 06514-2532. 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. Vega, Carissa can be contacted via phone (203) 230-2815.Contact Information
Primary practice address
60 Connolly Pkwy Bldg 17A
Hamden CT 06514-2532
Phone: (203) 230-2815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 004536 | Connecticut |
Profile Details
| NPI number | 1255814414 |
|---|---|
| LBN Legal business name | Vega, Carissa |
| Credentials | MC CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2018 |
| Last updated | Sep 12th, 2018 - about 8 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 | 1255814414 | NPPES |
| Connecticut | Other | 004536 | CT DEPARTMENT OF PUBLIC HEALTH STATE LICENSE |
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