Provider Demographics
NPI:1689849580
Name:BIALECKI, KATHRYN (AUDIOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:
Last Name:BIALECKI
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:GOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUDIOLOGIST
Mailing Address - Street 1:300 KENSINGTON AVE.
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER, PC
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051
Mailing Address - Country:US
Mailing Address - Phone:860-224-6231
Mailing Address - Fax:860-224-6260
Practice Address - Street 1:292 WEST MAIN STREET
Practice Address - Street 2:GROVE HILL MEDICAL CENTER, PC
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052
Practice Address - Country:US
Practice Address - Phone:860-224-2631
Practice Address - Fax:860-223-4117
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000318231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist