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Individual

MS. KATHLEEN MARY DEMACARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
7 OLYMPIC DR, DANBURY, CT 06810-8216
(203) 545-4550
(203) 794-0757
Mailing address
7 OLYMPIC DR, DANBURY, CT 06810-8216
(203) 545-4550
(203) 794-0757

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
000517
CT
235Z00000X
Speech-Language Pathologist
Primary
012142-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000517
SLP CT LICENSE
CT
01
012142-1
SLP NYS LICENSE
NY
Enumeration date
11/07/2008
Last updated
11/07/2008
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