Individual
CHRISTIANA MOUSTAKAS O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(508) 735-6270
Mailing address
15 BELLE VALE ST, MONROE, CT 06468-1534
(508) 735-6270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003633
CT
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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