IndividualActive
Anne Prusak
NPI 1104642321 · Speech-Language Pathologist · Southbury, CT
Provider details
- NPI number
- 1104642321
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 007949 (CT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
655 Main St S
Southbury, CT 06488-4220
Phone: (877) 407-3422
Fax: (877) 407-4329
Approximate (ZIP-level) locationGet directions
Mailing address
7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.