Provider Demographics
NPI:1336494277
Name:MENARD, MONICA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MENARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 GLOVER ROAD
Mailing Address - Street 2:ROUTE 16
Mailing Address - City:BARTON
Mailing Address - State:VT
Mailing Address - Zip Code:05822
Mailing Address - Country:US
Mailing Address - Phone:802-525-3071
Mailing Address - Fax:
Practice Address - Street 1:1683 GLOVER ROAD
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:VT
Practice Address - Zip Code:05822
Practice Address - Country:US
Practice Address - Phone:802-525-3071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist