Individual
MRS. JEAN MARIE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
850 BOLTON RD, UNIT 1085, STORRS, CT 06269-9020
(860) 486-2817
(860) 486-5422
Mailing address
3 WOODLAND RD, PORTLAND, CT 06480-1515
(860) 342-5091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3381
CT
Other
Enumeration date
01/05/2012
Last updated
10/10/2012
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