| Organization Name: | BROOKFIELD SPEECH AND LANGUAGE, LLC |
| NPI Number: | 1821368978 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORIAN LEIGH CUNDARI (OWNER/MEMBER; SPEECH/LANGUAGE PATH) |
| Mailing Address: | 499 Federal Rd Unit 13 Brookfield |
| State: | CT US |
| Postal Code: | 068042041 |
| Phone Number: | 2037400932 |
| Fax Number: | 2037402880 |
| NPI Enumeration Date: | 01/06/2012 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 002557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |