DR. JOEL L ETRA (NPI# 1528170214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528170214 |
| Entity Type | Individual |
| Full Name | DR. JOEL L ETRA |
| Credential | SLP.D |
| Practice Address |
507 New London Tpke Norwich CT 06360-6552 |
| Practice Telephone | 8606083300 |
| Practice Fax Number | 8608895817 |
| Mailing Telephone | 8606083300 |
| Mailing Fax Number | 8608895817 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 00680 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
507 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-6552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346753514 | Amanda Chambers | Speech-Language Pathologist | 305 River View Ln, Norwich, CT 06360-1304 | 2017-11-09 |
| 1962886119 | Abigail Goings | Speech-Language Pathologist | 54 Borden Ave, C 38, Norwich, NY 13815 | 2015-07-17 |
| 1114365301 | Eric John Gorham | Speech-Language Pathologist | 10 Brown St, Norwich, CT 06360-6202 | 2013-06-10 |
| 1649552050 | Michelle Ruth Horton-benenati | Speech-Language Pathologist | 399 Lyon Brook Rd, Norwich, NY 13815-3421 | 2011-09-12 |
| 1982983250 | Dianna L Brown | Speech-Language Pathologist | 274 Serenity Dr, Norwich, NY 13815-5101 | 2011-08-04 |
| 1710265061 | Laura Lee | Speech-Language Pathologist | 139 Galena Manor Rd, Norwich, NY 13815-3344 | 2011-08-03 |
| 1881911725 | Charleen A Jackson | Speech-Language Pathologist | 9 Division St, Norwich, NY 13815-2030 | 2010-05-03 |
| 1609106848 | Sabrina L. Crowe | Speech-Language Pathologist | 24 Stott Ave, Norwich, CT 06360-1563 | 2010-01-11 |
| 1740518083 | Patricia M Piotrowski | Speech-Language Pathologist | 137 Union Village Rd, Norwich, VT 05055-9642 | 2009-11-25 |
| 1215180740 | Lisa A Ryan | Speech-Language Pathologist | 1387 County Road 36, Norwich, NY 13815-3448 | 2008-10-28 |
| Find all providers in NORWICH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.