| NPI | 1962890947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA L LARRACUENTE Speech And Language Pathologist 203-610-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 2940) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-01-02 |