Whalio Doctors

NPI 1053413419

Thomas Kisatsky

Practitioner Speech-Language Pathologist Waterbury, CT

Practice location

Address
22 Tompkins St, Waterbury, CT 06708-1417
Phone
(203) 419-0381
Fax
(203) 419-0389
Mailing address
315 Williamson Cir, Oakville, CT 06779-2028

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 000428 (CT)

Registry record

NPI
1053413419
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.