Individual
DR. STEPHANIE MAIJA RAND BALDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
19 QUINEBAUG AVE, PUTNAM, CT 06260-1943
(860) 315-9656
Mailing address
19 QUINEBAUG AVE, PUTNAM, CT 06260-1943
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
17.000718
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17.000718
STATE LICENSURE
CT
Enumeration date
06/10/2022
Last updated
04/23/2025
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