Individual
JANET ROVALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2804
(860) 679-1848
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003613
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4248185
—
CT
Enumeration date
06/30/2005
Last updated
09/26/2022
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