IndividualActive
Elyse Kirschblum, MA CCC-A
NPI 1316015464 · Audiologist · Willimantic, CT
Provider details
- NPI number
- 1316015464
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- MA CCC-A
- Sex
- Female
- Sole proprietor
- No
- License
- 000208 (CT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
36 Watson St
Willimantic, CT 06226-2122
Phone: (860) 456-0287
Fax: (860) 456-3532
Approximate (ZIP-level) locationGet directions
Mailing address
79 Wawecus St
Norwich, CT 06360-2160
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2018-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.