Individual
ELIZABETH IRENE RATHBUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PSYD.
Contact information
Practice address
357 WHITNEY AVE STE 206, NEW HAVEN, CT 06511-2364
(203) 974-2062
Mailing address
357 WHITNEY AVE STE 206, NEW HAVEN, CT 06511-2364
(203) 974-2062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6299
MA
101YP2500X
Professional Counselor
LPC#001628
CT
103TC0700X
Clinical Psychologist
Primary
003887
CT
103TC0700X
Clinical Psychologist
3887
CT
Other
Enumeration date
07/12/2007
Last updated
07/18/2022
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