| NPI | 1194371930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA HAMMOND Speech Language Pathologist 860-543-0594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |