| NPI | 1295928075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE ANDERSON Managing Member 860-284-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 000957) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 001742) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2016-04-07 |