Individual
PETER LOUIS TALLERICO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
3 FARM RD, NEW CANAAN, CT 06840-6698
(203) 594-5200
Mailing address
3 FARM ROAD, NEW CANAAN, CT 06840-6698
(203) 594-5200
(206) 594-5412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003465
CT
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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