Individual
LISA WAYNE UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 POST RD E, WESTPORT, CT 06880-5200
(203) 341-0488
(203) 227-8809
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003813
CT
Other
Enumeration date
02/25/2009
Last updated
06/03/2013
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