Individual
MRS. CHRISTINA B STAUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9 CANDLEWOOD HBR, BROOKFIELD, CT 06804-1518
(203) 775-1151
Mailing address
9 CANDLEWOOD HBR, BROOKFIELD, CT 06804-1518
(203) 775-1151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
004020
CT
235Z00000X
Speech-Language Pathologist
Primary
12566861
NY
Other
Enumeration date
04/03/2009
Last updated
10/19/2012
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