Individual
JANET LYDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15 HINE PL, NEW HAVEN, CT 06511-3915
(781) 775-8626
Mailing address
15 HINE PL, NEW HAVEN, CT 06511-3915
(781) 775-8626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3569
CT
103TB0200X
Cognitive & Behavioral Psychologist
3569
CT
103TC1900X
Counseling Psychologist
3569
CT
103TC2200X
Clinical Child & Adolescent Psychologist
3569
CT
103TH0100X
Health Service Psychologist
3569
CT
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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