NPI 1871940189

Facilitating Growth

Organisation Preferred Provider Organization West Hartford, CT

Practice location

Address: 41 N Main St STE 303, West Hartford, CT 06107-1929
Phone: (860) 604-8119

Authorised official

Name: Lisa Beth Langweil
Title: Speech and Language Pathologist
Phone: (860) 604-8119

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 002504 (CT)

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Registry record

NPI: 1871940189
Entity type: Organization
NPI issued: 17 May 2016
Record last updated: 17 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.