Provider Demographics
NPI:1952936130
Name:BRIGGS, GRETCHEN (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 QUAKER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:CT
Mailing Address - Zip Code:06784-1226
Mailing Address - Country:US
Mailing Address - Phone:860-210-1252
Mailing Address - Fax:
Practice Address - Street 1:141 MOUNT PLEASANT RD STE 2
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1470
Practice Address - Country:US
Practice Address - Phone:203-887-0176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002016235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist