Individual
LUCILLE PORTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
636 CAMPBELL AVE, WEST HAVEN, CT 06516-4408
(203) 934-6690
(203) 934-6659
Mailing address
222 DURHAM ROAD, MADISON, CT 06443
(203) 645-5793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002189
SPEECH THERAPIST
CT
Enumeration date
01/22/2007
Last updated
01/13/2026
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