Individual
ROBERT G SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
55 NYE RD, GLASTONBURY, CT 06033-1281
(860) 521-4788
Mailing address
20 RACE BROOK RD, WEST HARTFORD, CT 06107-3110
(860) 521-4788
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001165
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001165CT03
ANTHEM BLUE CROSS BLUE SH
CT
01
—
5720095
AETNA
CT
01
—
P622828
OXFORD HEALTH PLANS
CT
Enumeration date
07/19/2006
Last updated
07/08/2007
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