Provider Demographics
NPI:1063657856
Name:CUTTING, JANET (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:CUTTING
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 QUINEBAUG AVE
Mailing Address - Street 2:
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-1943
Mailing Address - Country:US
Mailing Address - Phone:860-928-7793
Mailing Address - Fax:860-928-9760
Practice Address - Street 1:19 QUINEBAUG AVE
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-1943
Practice Address - Country:US
Practice Address - Phone:860-928-7793
Practice Address - Fax:860-928-9760
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT237231H00000X, 237600000X
MA1029237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400071195Medicare PIN