Individual
MRS. JOHANNA WHITE NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BASSWOOD LN, WEATOGUE, CT 06089-9766
(860) 670-0722
Mailing address
2 BASSWOOD LN, WEATOGUE, CT 06089-9766
(860) 670-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001407
CT
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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