Individual
DR. JEAN DARLENE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
120 PARK LANE RD, SUITE A102, NEW MILFORD, CT 06776-2444
(860) 354-4135
(860) 354-4238
Mailing address
120 PARK LANE RD, SUITE A102, NEW MILFORD, CT 06776-2444
(860) 354-4135
(860) 354-4238
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003087
CT
Other
Enumeration date
12/22/2005
Last updated
02/01/2011
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