Individual
MRS. JULIANNE KELLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
225 HOPMEADOW ST, SUITE 500, WEATOGUE, CT 06089-9782
(860) 321-7230
Mailing address
129 BRENTWOOD RD, NEWINGTON, CT 06111-2512
(860) 796-7354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004392
CT
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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