Denise Leverty, ST
Speech-Language Pathologist, in Fairfield, CT. Individual provider (NPI-1).
NPI number1104948801
StatusActive
Last updated in NPPESMay 4, 2022
Details
- NPI
- 1104948801
- Entity type
- Individual (NPI-1)
- Name
- Denise Leverty
- Credential
- ST
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2007
- Certification date
- May 4, 2022
- Last updated
- May 4, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 002633 | CT | Yes |
Practice location
2505 Black Rock Tpke Ste 2Fairfield, CT 06825-2408
Phone 203-814-2320
Mailing address
2505 Black Rock Tpke Ste 2Fairfield, CT 06825-2408
Phone 203-814-2320
Other practice locations
111 New Haven Ave
Derby, CT 06418-2197
Derby, CT 06418-2197
Phone 203-735-8336 · Fax 203-735-3704
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 79 Speech-Language Pathologist providers in Fairfield · All 1,933 providers in Fairfield
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