Individual
KYLE GREENE-PENDELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
272 MAIN ST, NEW BRITAIN, CT 06051-2203
(860) 827-2200
Mailing address
13 FAIRFIELD LN, BLOOMFIELD, CT 06002-1994
(336) 327-6805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004482
CT
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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