Individual
MICHELE ANNE GOYETTE -EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BLDG, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
300 GEORGE ST, PO BOX 9805, NEW HAVEN, CT 06511-6624
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
001889
CT
Other
Enumeration date
05/16/2006
Last updated
09/25/2007
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