Basic Information
Provider Information
NPI: 1508885344
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEMPSEY
FirstName: JAMES
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 537 BUCKLAND DR
Address2:  
City: CHESHIRE
State: CT
PostalCode: 064104153
CountryCode: US
TelephoneNumber: 2033925962
FaxNumber:  
Practice Location
Address1: 950 CAMPBELL AVE
Address2:  
City: WEST HAVEN
State: CT
PostalCode: 065162770
CountryCode: US
TelephoneNumber: 2039325711
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X000116CTY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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