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Connecticut: MS. OPHELIA JANE AUSTIN-SMALL MSC, PHD (ABD) COS COB CT 06807 203-559-4839

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MS. OPHELIA JANE AUSTIN-SMALL MSC, PHD (ABD)

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1740466895

Provider Information:
MS. OPHELIA JANE AUSTIN-SMALL MSC, PHD (ABD)
Gender: F
Not Sole Proprietor

Practice Location:
54B VALLEY ROAD  COS COB, CT 06807 US
Tel: 203-559-4839  Fax: --

Business Mailing Address:
54B VALLEY ROAD  COS COB, CT 06807 US
Tel: 203-559-4839  Fax: --

NPI Information:
NPI: 1740466895
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N103T00000XBehavioral Health & Social Service Providers
Psychologist
Y390200000XStudent
Organized Health Care Education/Training Program

Other Provider Identifiers:

IssuerNumberStateType

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