Supercalifragilistic Speech Language Therapy Inc.
NPI #1366979502 in Branford, Connecticut
Provider Information
- NPI Number
- 1366979502
- Entity Type
- Organization
- Organization Name
- Supercalifragilistic Speech Language Therapy Inc.
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 18, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 1204 MAIN ST # 218
- City
- Branford
- State
- Connecticut
- ZIP Code
- 06405-3787
- Phone
- (203) 208-8377
Authorized Official
- Name
- BRIANA O'NEILL, MS CCC-SLP
- Title
- CEO/FOUNDER
- Phone
- (203) 500-0969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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