| NPI | 1669237830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE FRACASSO Speech Language Pathologist 860-478-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |