Individual
LAURA MASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
381 HIGH RIDGE RD, STAMFORD, CT 06905-3018
(203) 977-4359
Mailing address
381 HIGH RIDGE RD, STAMFORD, CT 06905-3018
(203) 977-4359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14031771
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122297527
—
CT
Enumeration date
01/21/2014
Last updated
01/21/2014
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