| NPI | 1588395354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BELLE FOREST Speech And Language Pathologist 860-919-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |