Provider Demographics
NPI:1255651220
Name:BELL, KERRI-ANN (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KERRI-ANN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6 CRYSTAL LN
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3957
Mailing Address - Country:US
Mailing Address - Phone:914-403-7479
Mailing Address - Fax:
Practice Address - Street 1:195 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2556
Practice Address - Country:US
Practice Address - Phone:203-546-8648
Practice Address - Fax:888-558-7910
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012481-1235Z00000X
CT003365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist