Provider Demographics
NPI:1992304232
Name:MARANS, WENDY DALTON (MS, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:DALTON
Last Name:MARANS
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 1:88 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-2017
Mailing Address - Country:US
Mailing Address - Phone:203-980-4123
Mailing Address - Fax:
Practice Address - Street 1:234 CHURCH ST STE 300
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-1800
Practice Address - Country:US
Practice Address - Phone:203-789-0424
Practice Address - Fax:203-562-1675
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001689235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist