Individual
COLLEEN MARIE OSORIO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 POTTERS LN, FAIRFIELD, CT 06824-3113
(203) 685-7622
Mailing address
1 JENNIE LN, WESTPORT, CT 06880-6002
(914) 625-3587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004708
CT
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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