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Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

Provider NPI: 1356781710

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
915 RIVER RD  MIDDLETOWN, CT 06457-3921 US
Tel: 860-704-4000  Fax: --

Business Mailing Address:
Tel: 971-678-0780  Fax: --

NPI Information:
NPI: 1356781710
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Psychiatry & Neurology
Child & Adolescent Psychiatry

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2084P0804X





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