Provider Demographics
NPI:1417049081
Name:DEYO, JEANNE M (SLP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:DEYO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OLD ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1714
Mailing Address - Country:US
Mailing Address - Phone:203-740-0020
Mailing Address - Fax:203-775-0238
Practice Address - Street 1:105 NEWTOWN RD # A
Practice Address - Street 2:SUITE 5
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4114
Practice Address - Country:US
Practice Address - Phone:203-739-0765
Practice Address - Fax:203-739-0792
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003372235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist