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Individual

IAN H POWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.CL.SC (SLP)

Contact information

Practice address
3 FARM RD, NEW CANAAN, CT 06840-6698
(203) 594-5200
Mailing address
3 FARM RD, NEW CANAAN, CT 06840-6698
(203) 594-5200

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5775
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5775
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
09/06/2019
Last updated
09/06/2019
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