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SUSAN BARTLETT MA

>> Audiologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1114923638

Individual Registrant:
 SUSAN  BARTLETT MA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
850 BOLTON RD # U-85  STORRS MANSFIELD, CT 06269-9020 US
Tel: 860-486-2629  Fax: 860-486-5422

Contact information for business:
65 KANE ST PROVIDER ENROLLMENT-ELLIE ATKINS WEST HARTFORD, CT 06119-2110 US
Tel: 860-523-6421  Fax: 860-523-3701

Registration Information:
NPI: 1114923638
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y231H00000XSpeech, Language and Hearing Service Providers
Audiologist
CT000626

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004070496CT05




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