Individual
DR. DANIEL FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, JD
Contact information
Practice address
PO BOX 10, MOODUS, CT 06469-0010
(203) 208-8641
Mailing address
29 WICKHAM RD, EAST HADDAM, CT 06423-1204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4619
CT
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
07/28/2023
Last updated
03/19/2025
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