Individual
MS. JENNIFER DISORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
60 CONNOLLY PKWY, BLDG. 17A, HAMDEN, CT 06514-2593
(203) 230-2815
(203) 230-8502
Mailing address
60 CONNOLLY PKWY, BLDG. 17A, HAMDEN, CT 06514-2593
(203) 230-2815
(203) 230-8502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003488
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003488
LICENSE NUMBER
CT
Enumeration date
08/04/2010
Last updated
08/04/2010
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