Individual
DOUGLAS DUFORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
633 MIDDLESEX TPKE, SUITE 110, OLD SAYBROOK, CT 06475-1220
(860) 510-0225
(860) 395-1647
Mailing address
633 MIDDLESEX TPKE, SUITE 110, OLD SAYBROOK, CT 06475-1220
(860) 510-0225
(860) 395-1647
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002793
CT
Other
Enumeration date
10/25/2006
Last updated
09/20/2013
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