Individual
DANIELLE VIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
565 VERNON ST, MANCHESTER, CT 06042-2409
(860) 942-9761
Mailing address
565 VERNON ST, MANCHESTER, CT 06042-2409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
004821
CT
235Z00000X
Speech-Language Pathologist
Primary
SL011680
PA
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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