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Organization
SPEECH PATHOLOGY GROUP LLC
Active
Organization
SPEECH PATHOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SAMORAJCZYK (BILLING)
(475) 239-5512
Entity
Organization
Contact information
Practice address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(475) 239-5512
Mailing address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(475) 239-5512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
003727
CT
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
07/31/2024
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