NPI 1073234498 · live from the CMS NPI Registry
Madeline Delisio, MS, CCC-SLP
Speech-Language Pathologist, in Mystic, CT. National Provider Identifier 1073234498, active.
NPI record
| NPI | 1073234498 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1101 Noank Ledyard Rd, Mystic, CT 06355 |
| Practice phone | 401-742-7219 |
| Mailing address | 54 Shore Rd, Westerly, RI 02891 |
| Enumerated | September 5, 2022 |
| Last updated | September 5, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 007021 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.