Individual
MALLORY A BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CONNOLLY PKWY, BLDG. 17A, HAMDEN, CT 06514-2593
(203) 230-2815
(203) 823-0850
Mailing address
60 CONNOLLY PKWY, BLDG. 17A, HAMDEN, CT 06514-2593
(203) 230-2815
(203) 823-0850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002370
CT
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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