| NPI | 1710572623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FUSARO Speech Language Pathologist 203-539-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |