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

Anne Prusak

Individual provider Speech-Language Pathologist · NPI 1104642321

Anne Prusak is a Qualified Speech Language Pathologist in Southbury, Connecticut. Qualified in 2023, 3 years ago. Practices with Fox Rehab SLP CT LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2024
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Practice location Address checks out

655 Main St S
Southbury, CT 06488-4220
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 007949 (CT)

Record details

NPI number1104642321
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fox Rehab Slp Ct Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southbury