Individual
MR. TERRANCE PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
20 HARTFORD RD, MANCHESTER, CT 06040-5973
(860) 643-2701
Mailing address
20 HARTFORD RD, MANCHESTER, CT 06040-5973
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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