Individual
MARY NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
147 BISHOP ST, NEW HAVEN, CT 06511-3717
(203) 624-4457
Mailing address
147 BISHOP ST, NEW HAVEN, CT 06511-3717
(203) 624-4457
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001777
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299011
MHN
CT
01
—
4546863
AETNA
CT
01
—
87726
UBH
—
Enumeration date
09/14/2006
Last updated
07/09/2007
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