Individual
MISS AMY DALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-7202
Mailing address
61 PECK ST, KENSINGTON, CT 06037-2152
(860) 828-6652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003045
CT
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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