Individual
MS. LAURA D RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
82 BROADMERE RD, STRATFORD, CT 06614-2505
(203) 647-0212
(203) 647-0243
Mailing address
82 BROADMERE RD, STRATFORD, CT 06614-2505
(203) 647-0212
(203) 647-0243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013269
NY
Other
Enumeration date
10/24/2008
Last updated
10/28/2008
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