Individual
MARILYN DESHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 BRIDGEPORT AVE STE 1, SHELTON, CT 06484-4731
(203) 922-1773
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 332-4363
(203) 341-3955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7964
CT
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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