Individual
DR. MICHAEL D BULMASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
246 FEDERAL RD, SUITE CL41, BROOKFIELD, CT 06804-2647
(203) 733-8523
(203) 938-0722
Mailing address
23 SHERMAN STREET, FAIRFIELD, CT 06824-5821
(203) 255-0600
(203) 938-0722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001181
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4074027
—
CT
Enumeration date
08/29/2006
Last updated
11/06/2012
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