Individual
MRS. DIANE CHIAPPETTA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
40 BONWIT RD, RIVERSIDE, CT 06878-1215
(203) 698-2164
Mailing address
40 BONWIT RD, RIVERSIDE, CT 06878-1215
(203) 698-2164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002379
CT
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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