Individual
ELIANA BAR-SHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 HARTFORD TPKE, HAMPTON, CT 06247-1320
(860) 455-0707
(860) 455-8002
Mailing address
376 HARTFORD TPKE, HAMPTON, CT 06247-1320
(860) 455-0707
(860) 455-8002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001206
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001206
SPEECH
CT
Enumeration date
06/30/2009
Last updated
06/30/2009
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