Individual
JACLYN W BELLABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4200 PARK AVE, JEWISH HOME FOR THE ELDERLY, BRIDGEPORT, CT 06604-1049
(203) 365-6400
Mailing address
4200 PARK AVE, JEWISH HOME FOR THE ELDERLY, BRIDGEPORT, CT 06604-1049
(203) 365-6400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021031
NY
235Z00000X
Speech-Language Pathologist
Primary
4160
CT
Other
Enumeration date
08/19/2010
Last updated
06/22/2016
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