Individual
DIANE KAREN MITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CONNOLLY PARKWAY, BLDG, 17A, HAMDEN, CT 06514
(406) 375-4570
Mailing address
60 CONNOLLY PARKWAY, BLDG, 17A, HAMDEN, CT 06514
(203) 230-2815
(203) 230-8502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004600
CT
235Z00000X
Speech-Language Pathologist
1131
MT
Other
Enumeration date
07/25/2008
Last updated
10/24/2014
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