Provider Demographics
NPI:1700215985
Name:REMY, DARLENE MARIE
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:MARIE
Last Name:REMY
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 1:20 S HILL ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:VT
Mailing Address - Zip Code:05149-9577
Mailing Address - Country:US
Mailing Address - Phone:802-345-0476
Mailing Address - Fax:
Practice Address - Street 1:20 S HILL ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:VT
Practice Address - Zip Code:05149-9577
Practice Address - Country:US
Practice Address - Phone:802-345-0476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01069855235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist