Individual
MISS ELISE RACHEL PICCIUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 STANDISH AVE, NORTH HAVEN, CT 06473-2633
(203) 812-0838
Mailing address
103 STANDISH AVE, NORTH HAVEN, CT 06473-2633
(203) 812-0838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6899
CT
Other
Enumeration date
07/01/2021
Last updated
05/25/2022
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