Individual
DR. LISA R FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
42 N MILL CIR, GUILFORD, CT 06437-1936
(203) 764-9133
Mailing address
42 N MILL CIR, GUILFORD, CT 06437-1936
(203) 764-9133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002074
CT
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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