Individual
DR. JESSICA J VANDERFEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
440 N MAIN ST, STE C, BRISTOL, CT 06010
(860) 893-1977
(860) 845-5330
Mailing address
440 N MAIN ST, STE C, BRISTOL, CT 06010
(860) 570-2318
(860) 570-2271
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000351
CT
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004207644
—
CT
01
—
11220528
CAQH
CT
Enumeration date
03/06/2007
Last updated
06/27/2025
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