Individual
JUDY PORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BEAR SAWMILL RD, SHELTON, CT 06484
(475) 239-5512
Mailing address
64 LAKEVIEW HTS, LEBANON, CT 06249-2218
(860) 908-3809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2197
CT
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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