Organization
BARON THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BARON MS, CCC SLP (DIRECTOR - SPEECH PATHOLOGIST)
(203) 387-1401
Entity
Organization
Contact information
Practice address
15 RESEARCH DR, UNIT #1, WOODBRIDGE, CT 06525-2348
(203) 387-1401
Mailing address
PO BOX 3568, WOODBRIDGE, CT 06525-0141
(203) 387-1401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
002605
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660002605CT02
ANTHEM PROVIDER #
CT
Enumeration date
05/04/2007
Last updated
11/02/2018
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