Organization
GRASSYLANE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN L BLACK MS, CCC/SLP (MEMBER)
(203) 314-1991
Entity
Organization
Contact information
Practice address
14 GLENWOOD CT, BETHANY, CT 06524-3319
(203) 314-1991
Mailing address
14 GLENWOOD CT, BETHANY, CT 06524-3319
(203) 314-1991
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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