Individual
KRISTINA BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
9 CLINTON ST, FAIRFIELD, CT 06824-6909
(203) 522-6208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002314
CT
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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