Individual
MARIA J GUGLIELMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
8 CRESCENT ST, MIDDLETOWN, CT 06457-3602
(860) 344-6394
(860) 344-6748
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 344-6394
(860) 344-6748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002622
CT LIC #
CT
Enumeration date
03/31/2006
Last updated
07/08/2007
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