Individual
DOMINIQUE GESUALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 MAIN ST, NEW CANAAN, CT 06840-4748
(914) 907-7437
Mailing address
62 MAIN ST, NEW CANAAN, CT 06840-4748
(914) 907-7437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4699
CT
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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