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Organization

SPEECH PATHOLOGY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER SAMORAJCZYK (BILLING)
(475) 239-5512
Entity
Organization

Contact information

Practice address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(475) 239-5512
Mailing address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(475) 239-5512

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
003727
CT
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/10/2015
Last updated
07/31/2024
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