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MRS. BETHANY CHRISTIAN BANDOLA-BRUNNOCK M.S., CCC-SLP

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

Registrant NPI Number: 1417202888

Individual Registrant:
MRS. BETHANY CHRISTIAN BANDOLA-BRUNNOCK M.S., CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
132 ELM ST UNIT 1 CHESHIRE, CT 06410-2808 US
Tel: 203-250-9663  Fax: --

Contact information for business:
132 ELM ST UNIT 1 CHESHIRE, CT 06410-2808 US
Tel: 203-250-9663  Fax: --

Registration Information:
NPI: 1417202888
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CT003886

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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