Individual
MRS. PAMELA SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
5 HAWLEYVILLE RD, NEWTOWN, CT 06470-1238
(203) 426-5406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003612
CT
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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