| NPI | 1689039927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMARA CARRARA Slp Partner 802-772-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0114363) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0115174) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2023-05-19 |