Monica Phongsa, CCC-SLP is a
Speech-language Pathologist based in Putnam, Connecticut. Monica Phongsa is licensed to practice in Massachusetts (license number 77694) and her current practice location is
457 Liberty Hwy, Putnam, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 942-9619.
NPI number for Monica Phongsa is 1023720810 and her current mailing address is 457 Liberty Hwy, Putnam, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023720810.
Healthcare Provider's Profile
Full Name | Monica Phongsa |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 457 Liberty Hwy, Putnam, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023720810
- Provider Enumeration Date: 12/23/2022
- Last Update Date: 12/23/2022
Medical Identifiers
Medical identifiers for Monica Phongsa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023720810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4675 (Colorado) | Secondary |
235Z00000X | Speech-language Pathologist | 61339861 (Washington) | Secondary |
235Z00000X | Speech-language Pathologist | 32745 (California) | Secondary |
235Z00000X | Speech-language Pathologist | 77694 (Massachusetts) | Primary |
235Z00000X | Speech-language Pathologist | 6165 (Connecticut) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monica Phongsa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Monica Phongsa, CCC-SLP 457 Liberty Hwy, Putnam, CT 06260-2721 Ph: () - | Monica Phongsa, CCC-SLP 457 Liberty Hwy, Putnam, CT 06260-2721 Ph: (860) 942-9619 |
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