Organization
YOUR PERSONAL SLP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AMENTA MS CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(860) 785-4378
Entity
Organization
Contact information
Practice address
95 S RIDGE LN, BERLIN, CT 06037
(860) 785-4378
Mailing address
PO BOX 942, ROCKY HILL, CT 06067-0942
(860) 785-4378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003560
CT
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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