Provider Demographics
NPI:1578990966
Name:LOEWENGART, JEANNE-MARIE (MSCCC/SLP)
Entity Type:Individual
Prefix:
First Name:JEANNE-MARIE
Middle Name:
Last Name:LOEWENGART
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 STONY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-3731
Mailing Address - Country:US
Mailing Address - Phone:203-775-8412
Mailing Address - Fax:
Practice Address - Street 1:1 GLEN HILL ROAD
Practice Address - Street 2:GLEN HILL REHABILITATION AND NURSING CENTER
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811
Practice Address - Country:US
Practice Address - Phone:203-744-2840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004360235Z00000X
NY009122-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist