Individual
LARISA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1400 BEDFORD ST, ST #2, STAMFORD, CT 06905-5200
(203) 569-3848
Mailing address
1400 BEDFORD ST, ST #2, STAMFORD, CT 06905-5200
(203) 569-3848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003050
CT
Other
Enumeration date
07/15/2005
Last updated
08/17/2016
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