Phase & Stage LLC
NPI #1053057307 in Warren, Connecticut
Provider Information
- NPI Number
- 1053057307
- Entity Type
- Organization
- Organization Name
- Phase & Stage LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 10, 2022
- Last Updated
- May 10, 2022
Practice Location
- Address
- 33 LAUREL MOUNTAIN RD
- City
- Warren
- State
- Connecticut
- ZIP Code
- 06754-1723
- Phone
- (361) 935-6990
Authorized Official
- Name
- AVERY BEVILLE, M.S., CCC-SLP
- Title
- SLP/OWNER
- Phone
- (361) 935-6990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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