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Contact Information

BETHANY C BANDOLA BRUNNOCK, M.S., CCC-SLP
132 ELM ST
UNIT 1
CHESHIRE, CT06410-2808
 Phone: 203-250-9663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BETHANY C BANDOLA BRUNNOCK · (Female)

NPI # 1417202888
Status Active
Credentials M.S., CCC-SLP
Entity Individual
Enumeration date 07/20/2012
Last updated 07/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003886
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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