Individual
AMANDA DITOMASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8-5 ARTHUR DR, SOUTH WINDSOR, CT 06074-3646
(860) 268-2443
Mailing address
8-5 ARTHUR DR, SOUTH WINDSOR, CT 06074-3646
(860) 268-2443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005101
CT
Other
Enumeration date
10/07/2018
Last updated
10/07/2018
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