| NPI | 1073381307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH RUSSELL Speech Language Pathologist 860-748-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |