Individual
DR. JOSHUA STEPHEN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
114 BOSTON POST RD, 2ND FLOOR, WEST HAVEN, CT 06516-2043
(203) 479-8000
(203) 479-8001
Mailing address
114 BOSTON POST RD, 2ND FLOOR, WEST HAVEN, CT 06516-2043
(203) 479-8000
(203) 479-8001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01241
RI
Other
Enumeration date
08/20/2011
Last updated
08/20/2011
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