| NPI | 1659624344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA COOK Owner 860-821-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 3858) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |