Individual
MS. JESSICA PAOLA CHIVATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
(860) 613-9952
Mailing address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005947
CT
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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