Individual
LISA BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
261 VALENTINE RD, POMFRET CENTER, CT 06259-2116
(203) 331-5412
Mailing address
261 VALENTINE RD, POMFRET CENTER, CT 06259-2116
(203) 331-5412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004529
CT
Other
Enumeration date
12/17/2019
Last updated
03/30/2020
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