Individual
AMANDA MAULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
252 CAVAN LN, GLASTONBURY, CT 06033-2405
(860) 597-7816
Mailing address
252 CAVAN LN, GLASTONBURY, CT 06033-2405
(860) 597-7816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005926
CT
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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