Individual
DANIEL LEE FUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2319 WHITNEY AVE STE 5D, HAMDEN, CT 06518-3534
(203) 288-2554
(203) 248-3690
Mailing address
2319 WHITNEY AVE STE 5D, HAMDEN, CT 06518-3534
(203) 288-3554
(203) 248-3690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3314
CT
Other
Enumeration date
04/03/2007
Last updated
05/06/2024
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