Individual
ELIZABETH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
120 HOLCOMB ST, HARTFORD, CT 06112-1529
(860) 883-4359
Mailing address
330 MERWIN AVE APT A4, MILFORD, CT 06460-7199
(203) 543-6168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006166
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006166
DEPARTMENT OF PUBLIC HEALTH
CT
01
—
14338805
AMERICAN SPEECH-LANGUAGE ASSOCIATION
—
Enumeration date
09/22/2022
Last updated
09/22/2022
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