Provider Demographics
NPI:1376833228
Name:CALAFELL, ANNETTE MARIE
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:MARIE
Last Name:CALAFELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 BYRNE CT
Mailing Address - Street 2:UNIT B
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-3555
Mailing Address - Country:US
Mailing Address - Phone:786-282-1058
Mailing Address - Fax:
Practice Address - Street 1:13 BYRNE CT
Practice Address - Street 2:UNIT B
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-3555
Practice Address - Country:US
Practice Address - Phone:786-282-1058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5406235Z00000X
FLSA11514235Z00000X
CT004875235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist