Provider Demographics
NPI:1669473658
Name:VASILE, LINDA ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:VASILE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 MAIN STREET
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-9998
Mailing Address - Country:US
Mailing Address - Phone:860-426-9181
Mailing Address - Fax:860-426-1072
Practice Address - Street 1:710 MAIN STREET
Practice Address - Street 2:SUITE 8
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-9998
Practice Address - Country:US
Practice Address - Phone:860-426-9181
Practice Address - Fax:860-426-1072
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000330231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist