Individual
MRS. SUSAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED CCC-SLP
Contact information
Practice address
845 PADDOCK AVE, MERIDEN, CT 06450-7021
(203) 238-2645
Mailing address
16A COUNTRY SQUIRE DR, CROMWELL, CT 06416-4510
(860) 387-3727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5056
CT
Other
Enumeration date
09/02/2015
Last updated
02/14/2019
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