Individual
KAITLIN GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
107 NORTH ST, PLYMOUTH, CT 06782-2100
(860) 283-6321
Mailing address
312 BEACH RD, WOLCOTT, CT 06716-1625
(203) 598-4835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3274464473
CT
Other
Enumeration date
01/30/2018
Last updated
03/17/2018
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