Individual
COREY BAECHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
84 STATE ST, BOSTON, MA 02109-2202
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9989
MA
Other
Enumeration date
09/10/2009
Last updated
07/24/2024
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