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Organization

QUINNIPIAC PSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD BRENT FARNSWORTH PH.D. (SOLE PROPRIETOR)
(203) 787-9009
Entity
Organization

Contact information

Practice address
3074 WHITNEY AVE, BUILDING TWO, HAMDEN, CT 06518-2391
(203) 287-9009
Mailing address
3074 WHITNEY AVE, BUILDING TWO, HAMDEN, CT 06518-2391
(203) 287-9009

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002055
CT

Other

Enumeration date
04/21/2009
Last updated
04/21/2009
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