Individual
WENDY MARSHALL CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
850 BOLTON RD UNIT 1085, STORRS MANSFIELD, CT 06269-1085
(860) 486-3265
(860) 486-4948
Mailing address
850 BOLTON RD UNIT 1085, STORRS MANSFIELD, CT 06269-1085
(860) 486-3265
(860) 486-4948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124342365
—
CT
Enumeration date
03/17/2010
Last updated
08/06/2012
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