| NPI | 1306291232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COX Co Owner 860-455-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 000355) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 000359) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 000355) | |
| 332S00000X Hearing Aid Equipment (Licence: CT 000355) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-04-05 |