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Colleen Gomola, MS, CCC-SLP

Speech-Language Pathologist, in Fairfield, CT. Individual provider (NPI-1).

NPI number1093290348
StatusActive
Last updated in NPPESOct 2, 2018

Details

NPI
1093290348
Entity type
Individual (NPI-1)
Name
Colleen Gomola
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2018
Last updated
Oct 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,005572CTYes

Practice location

1931 Black Rock Tpke
Fairfield, CT 06825-3506

Phone 203-384-8681 · Fax 203-384-0722

Mailing address

1931 Black Rock Tpke
Fairfield, CT 06825-3506

Phone 203-384-8681 · Fax 203-384-0722

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