Provider Demographics
NPI:1871781732
Name:NAYOR, RHODA A
Entity type:Individual
Prefix:MRS
First Name:RHODA
Middle Name:A
Last Name:NAYOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MERRITT BLVD
Mailing Address - Street 2:ST. VINCENT SPECIAL NEEDS SERVICES
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611
Mailing Address - Country:US
Mailing Address - Phone:203-375-6400
Mailing Address - Fax:203-386-2855
Practice Address - Street 1:95 MERRITT BLVD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5435
Practice Address - Country:US
Practice Address - Phone:203-375-6400
Practice Address - Fax:203-386-2855
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000069231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT640000122Medicare PIN