Individual
EMILY ELISE PHILLIPS PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MOTT ST, ANSONIA, CT 06401-1930
(203) 676-9759
Mailing address
22 MOTT ST, ANSONIA, CT 06401-1930
(203) 676-9759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005004
CT
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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