| NPI | 1003677543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA WYLUDA Speech Language Pathologist 860-329-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |