Individual
MS. TRACY LANGLOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
39 SHERMAN HILL RD STE C101, WOODBURY, CT 06798-3650
(860) 329-7001
Mailing address
16 WOODBURY HL, WOODBURY, CT 06798-2959
(203) 592-3627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003905
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003905
STATE OF CT
CT
Enumeration date
07/22/2014
Last updated
07/22/2014
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