Individual
MRS. LISA W BYWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
139 N MAIN ST, WEST HARTFORD, CT 06107-1264
(860) 570-2399
Mailing address
108 WHITMAN AVE, WEST HARTFORD, CT 06107-1754
(860) 521-2646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03378709
CT
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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