Individual
MRS. REBECCA CATHERINE FASULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
35 WHEELBARROW LN, EAST HAVEN, CT 06513-2003
(203) 468-3261
Mailing address
35 GROVE RD, NORTH HAVEN, CT 06473-2439
(203) 215-8283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005861
CT
Other
Enumeration date
04/07/2018
Last updated
02/04/2020
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