Individual
ALICIA PONTICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 NASH PL, NORWALK, CT 06854-1403
(203) 247-3482
Mailing address
3 NASH PL, NORWALK, CT 06854-1403
(203) 247-3482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4995
CT
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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