Individual
MS. MARISA EVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
117 VINE RD, STAMFORD, CT 06905-2016
(203) 977-4636
Mailing address
888 WASHINGTON BLVD, STAMFORD, CT 06901
(203) 977-4636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004096
CT
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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