Individual
MR. BENNETT EDWARD MOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
371 BREWSTER RD, BRISTOL, CT 06010
(860) 906-7006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
003453
CT
Other
Enumeration date
07/02/2008
Last updated
03/17/2018
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