KELLEY BEAN (NPI# 1386058766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386058766 |
| Entity Type | Individual |
| Full Name | KELLEY BEAN |
| Practice Address |
27 Noble Ave Unit 3 Groton CT 06340-5624 |
| Practice Telephone | 4132651813 |
| Mailing Telephone | 4132651813 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 005129 | CT | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 7739 | MA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Orange St, Nantucket, MA 025544028 | 4132651813 |
| Street Address |
27 NOBLE AVE UNIT 3 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659752350 | Kaileigh Lear | Speech-Language Pathologist | 135 Ledgewood Rd Apt 302, Groton, CT 06340-6609 | 2015-06-18 |
| 1912349135 | Cynthia Testa | Speech-Language Pathologist | 42 Duck Pond Rd, Groton, MA 01450-2211 | 2013-07-29 |
| 1841563152 | Audrey Marie Mozley | Speech-Language Pathologist | 99 Blueberry Hill Rd, Groton, CT 06340-4440 | 2012-02-16 |
| 1023321163 | Sandra G Tuthill | Speech-Language Pathologist | 516 Elm St., Groton Elementary School, Groton, NY 13073-1297 | 2010-07-19 |
| 1184935777 | Kristin Noelle Ashburn | Speech-Language Pathologist | 6 Allison Park, Groton, MA 01450-1573 | 2010-06-29 |
| 1508197526 | Evelyn Marie Thompson | Speech-Language Pathologist | 668 Sovocool Hill Rd, Groton, NY 13073-9206 | 2010-01-15 |
| 1053541334 | Dawn Mingione | Speech-Language Pathologist | 145 Pleasant Valley Rd S, Groton, CT 06340-3323 | 2009-07-21 |
| 1639323413 | Stacey Kidder | Speech-Language Pathologist | 110 Sykes St, Groton, NY 13073-1231 | 2008-11-06 |
| 1699960799 | Crystal Marie Waage | Speech-Language Pathologist | 716 N 2nd St, Groton, SD 57445-2166 | 2007-09-11 |
| 1023130317 | Marie D Leisten | Speech-Language Pathologist | 8 Oneil Way, Groton, MA 01450-4228 | 2007-04-06 |
| Find all providers in GROTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.