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Organization

MICHAEL J REISS PSYD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J REISS PSYD (PSYCHOLOGIST)
(860) 657-8868
Entity
Organization

Contact information

Practice address
200A OAK ST, GLASTONBURY, CT 06033-2320
(860) 657-8868
Mailing address
200A OAK ST, GLASTONBURY, CT 06033-2320
(860) 657-8868
(860) 657-8802

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
11/13/2018
Last updated
07/23/2020
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