Individual
MS. PAULA BANNASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
577 NORTONTOWN RD, GUILFORD, CT 06437-2265
(203) 453-2404
Mailing address
577 NORTONTOWN RD, GUILFORD, CT 06437-2265
(203) 453-2404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003125
CT
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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