Provider Demographics
NPI:1386885598
Name:FRANCHETTI, KEITH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:FRANCHETTI
Suffix:
Gender:M
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 1:503 DALTON DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-3104
Mailing Address - Country:US
Mailing Address - Phone:802-655-4477
Mailing Address - Fax:
Practice Address - Street 1:503 DALTON DR
Practice Address - Street 2:UNIT A
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-3104
Practice Address - Country:US
Practice Address - Phone:802-655-4477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT12051525OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION