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Individual

NICOLA GIORDANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
3074 WHITNEY AVENUE, BUILDING 1, HAMDEN, CT 06518-2324
(203) 936-8697
Mailing address
33 ANTHONY CT, BETHANY, CT 06524-3226
(802) 683-1540

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002904
CT
103TC0700X
Clinical Psychologist
048-0000915
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225216880
CT
01
446545
MHN
CT
Enumeration date
02/06/2008
Last updated
12/09/2024
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