Individual
SARAH SCHORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
52 MISSIONARY RD, CROMWELL, CT 06416-2170
(860) 754-3048
Mailing address
29 JAN DR, VERNON, CT 06066-6211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004657
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004657
STATE OF CT DEPT OF PUBLIC HEALTH
—
01
—
14069940
ASHA LICENSE
—
Enumeration date
03/28/2019
Last updated
03/28/2019
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