| NPI | 1154787372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA DECATO RAMEY Speech Language Pathologist 203-725-7729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003923) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |