Individual
MRS. MARY BETH BUCKWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1300 POST RD STE 208, FAIRFIELD, CT 06824-6038
(203) 260-8271
Mailing address
1300 POST RD STE 208, FAIRFIELD, CT 06824-6038
(203) 260-8271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002086
CT
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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