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Active NPI 1295928075 Organization (Entity Type 2)

Creative Development, Llc

Specialist • Avon, CT

About Creative Development, Llc NPI 1295928075 Summary

Creative Development, Llc is a verified healthcare organization specializing in Specialist operating in Avon, CT. Located at 30 AVON MEADOW LN, this facility provides patient care and medical services under National Provider Identifier (NPI) 1295928075.

Administrative operations and authorized compliance are overseen by Deanne Anderson (Managing Member).

The facility is associated with 14 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

30 Avon Meadow Ln

Avon, CT 060013745

Telephone 8608339905
Fax 8604092190

Authorized Official Information

Authorized Contact Name

Deanne Anderson , OTR/L

Title / Role

Managing Member

Official Telephone

8602849779

Facility Classifications & Specialties

Specialist Primary Taxonomy

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

14 Linked
Cynthia Romano , SLP NPI 1003531625

Speech-Language Pathologist

Avon, CT

View Practitioner Profile →
Christine Hedberg NPI 1013669472

Speech-Language Pathologist

Avon, CT

View Practitioner Profile →

Speech-Language Pathologist

Avon, CT

View Practitioner Profile →

Occupational Therapist

Avon, CT

View Practitioner Profile →

Speech-Language Pathologist

Avon, CT

View Practitioner Profile →
Sarah Bengtson NPI 1467997148

Occupational Therapist

Avon, CT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2016

Registered at 30 AVON MEADOW LN, AVON, CT 060013745 (Tel: 8608339905)

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Updated Business Mailing Address April 07, 2016

Registered at PO BOX 421, AVON, CT 060010421 (Tel: 8602849779)

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Organization / Clinic Name Updated April 07, 2016

Operating as CREATIVE DEVELOPMENT, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Specialist (License #000957 in CT)

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Initial NPI Registration & Enumeration August 24, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1295928075
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 24, 2007
Last Update: April 07, 2016

Mailing Address

Po Box 421

Avon, CT 060010421

Phone: 8602849779

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.