Individual
MICHELE G. FAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
117B PLAINWOODS RD, FOSTER, RI 02825-1622
(860) 889-8331
(860) 823-6540
Mailing address
117B PLAINWOODS RD, FOSTER, RI 02825-1622
(860) 889-8331
(860) 823-6540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002723
CT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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