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Individual

BASIL ANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
908 S MERIDEN RD, CHESHIRE, CT 06410-1863
(203) 272-0353
(203) 271-3243
Mailing address
908 S MERIDEN RD, CHESHIRE, CT 06410-1863
(203) 272-0353
(203) 271-3243

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001366
CT

Other

Enumeration date
01/15/2007
Last updated
07/08/2007
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