Individual
NICHOLAS ANDREW VISSICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
51 RIVERSIDE DR, BRANFORD, CT 06405-3950
(203) 640-3650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4433
CT
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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