| NPI | 1811434871 |
|---|---|
| Doing Business As | STAMFORD SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SKUBURDIS Owner 203-849-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CT 003024) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NY 009912-1) |
| 305S00000X Point of Service (Licence: CT 003024) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |