Individual
MICHELLE LORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
ONE POST RD, FAIRFIELD, CT 06824
(203) 583-7494
Mailing address
ONE POST RD, FAIRFIELD, CT 06824
(203) 583-7494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002179
CT
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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