Individual
MATTHEW CRAIG PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
305 EAST RD, BROAD BROOK, CT 06016-9527
(860) 878-4318
Mailing address
305 EAST RD, BROAD BROOK, CT 06016-9527
(860) 878-4318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8070
CT
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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