Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

CT Cranial Prosthesis Specialist

Organization Prosthetist · NPI 1497453591

CT Cranial Prosthesis Specialist is a Prosthetist in Derby, Connecticut. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

35 Fairview Ter
Derby, CT 06418-1414
Phone: (203) 360-3446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1497453591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paule Bien-Aime — Owner · (203) 360-3446
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address35 Fairview Ter, Derby, CT 06418-1414

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