Individual
MR. KEVIN BLAINE LATHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
2 KNOLL LN, ROCKY HILL, CT 06067-4241
(860) 836-3317
(860) 571-9347
Mailing address
2 KNOLL LN, ROCKY HILL, CT 06067-4241
(860) 836-3317
(860) 571-9347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003261
CT
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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