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WENDY MARSHALL CHASE MA, CCC-SLP

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

Registrant NPI Number: 1124342365

Individual Registrant:
 WENDY MARSHALL CHASE MA, CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
850 BOLTON RD UNIT 1085  STORRS MANSFIELD, CT 06269-1085 US
Tel: 860-486-3265  Fax: 860-486-4948

Contact information for business:
850 BOLTON RD UNIT 1085  STORRS MANSFIELD, CT 06269-1085 US
Tel: 860-486-3265  Fax: 860-486-4948

Registration Information:
NPI: 1124342365
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CT2008

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1124342365CT05




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