Individual
TED SCOTT SEWITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD CLINICAL PSYCHOL
Contact information
Practice address
40 DALE ROAD, SUITE 201, AVON, CT 06001
(860) 676-9350
(860) 678-7178
Mailing address
40 DALE ROAD, SUITE 201, AVON, CT 06001
(860) 676-9350
(860) 678-7178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1288
CT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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