Individual
CAROLYN ISMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC
Contact information
Practice address
200 BROAD ST, APT. 2305, STAMFORD, CT 06901-2067
(551) 427-6646
Mailing address
200 BROAD ST, APT. 2305, STAMFORD, CT 06901-2067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004394
CT
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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