Organization
SWALLOWING DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILSON-FOLEY (PRESIDENT)
(860) 677-2934
Entity
Organization
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-4048
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-4048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001808
CT
Other
Enumeration date
12/09/2008
Last updated
07/10/2013
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