Creative Development, LLC
Specialist in Avon, CT. Organization (NPI-2).
NPI number1295928075
StatusActive
Last updated in NPPESApr 7, 2016
Details
- NPI
- 1295928075
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Development, LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2007
- Last updated
- Apr 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 000957 | CT | Yes |
| 235Z00000X | Speech-Language Pathologist, | 001742 | CT |
Practice location
30 Avon Meadow LnAvon, CT 06001-3745
Phone 860-833-9905 · Fax 860-409-2190
Mailing address
Po Box 421Avon, CT 06001-0421
Phone 860-284-9779 · Fax 860-409-2190
Authorized official
Deanne Anderson
Managing Member
8602849779
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