LISA PHUNG

WALLINGFORD, CT
NPI1740634799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CT  4021)
Enumeration Date2016-04-15
Last Update Date2016-04-15
Business Address
-- LISA PHUNG SLP
300 CHURCH ST UNIT 102
WALLINGFORD, CT 06492-2253
Phone number: 203-410-0974
Mailing Address
-- LISA PHUNG SLP
300 CHURCH ST UNIT 102
WALLINGFORD, CT 06492-2253
Phone number: 203-410-0974