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General NPI Number Information
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NPI Number | 1407738594
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Entity Type | Organization
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Legal Business Name | LITTLE BRIDGES SPEECH AND OCCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 33 BULLET HILL RD STE 301
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City | SOUTHBURY
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State | CT
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Zip | 06488-4697
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Country | US
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Telephone | 203-404-3903
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1129
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City | WOODBURY
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State | CT
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Zip | 06798-1129
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Country | US
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Telephone | 203-404-3903
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. LISA A BALDELLI
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Credential | CCC-SLP
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Telephone | 203-404-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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