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ELISA RAE RAE ISABELLA-VALENZI SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1932428349

Individual Registrant:
 ELISA RAE RAE ISABELLA-VALENZI SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
30 BUXTON FARM ROAD SUITE 230 STANFORD, CT 06905 US
Tel: 203-212-4191  Fax: 203-212-4191

Contact information for business:
30 BUXTON FARM ROAD SUITE 230 STANFORD, CT 06905 US
Tel: 203-212-4191  Fax: 203-212-4191

Registration Information:
NPI: 1932428349
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CT004232

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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