Individual
SUSAN ALFIERO-BAVASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 FAIRWAY CT, PAWCATUCK, CT 06379-1240
(860) 599-5522
Mailing address
2 FAIRWAY CT, PAWCATUCK, CT 06379-1240
(860) 599-5522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001461
CT
235Z00000X
Speech-Language Pathologist
SP00191
RI
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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