Provider Demographics
NPI:1114182300
Name:BARRETT, ANAMARIE L (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANAMARIE
Middle Name:L
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2462
Mailing Address - Country:US
Mailing Address - Phone:203-910-1193
Mailing Address - Fax:203-405-1337
Practice Address - Street 1:265 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2462
Practice Address - Country:US
Practice Address - Phone:203-910-1193
Practice Address - Fax:203-405-1337
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003684235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist