Organization
LAB SPEECH LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A BLANCHETTE M.A. SLP-CCC (SPEECH LANGUAGE PATHOLOGIST)
(203) 331-5412
Entity
Organization
Contact information
Practice address
261 VALENTINE RD, POMFRET CENTER, CT 06259-2116
(203) 331-5421
Mailing address
261 VALENTINE RD, POMFRET CENTER, CT 06259-2116
(203) 331-5421
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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