Individual
JILL JOHNSON RANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
123 PROGRESS DR, WETHERSFIELD, CT 06109-2450
(860) 529-4260
(860) 257-8500
Mailing address
123 PROGRESS DR, WETHERSFIELD, CT 06109-2450
(860) 529-4260
(860) 257-8500
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000284
CT
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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