| NPI | 1962150953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY KELLY Speech Language Pathologist 860-597-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-06-11 |