| NPI | 1962118018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHANN OLIVE Speech Language Pathologist 860-964-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-05-05 |