Individual
ELLEN MASSUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
230 FARMINGTON AVE, TALCOTT CENTER, FARMINGTON, CT 06032-1916
(860) 674-1824
Mailing address
230 FARMINGTON AVE, TALCOTT CENTER, FARMINGTON, CT 06032-1916
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CT
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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