Individual
DR. DIANE BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
354 HARTFORD TPKE, HAMPTON, CT 06247-1320
(860) 455-1404
(860) 455-1396
Mailing address
173 POND HILL RD, MOOSUP, CT 06354-1836
(860) 564-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000359
CT
Other
Enumeration date
01/25/2007
Last updated
11/17/2014
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