Individual
THOMAS DZIADOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
326 WASHINGTON ST, WILLIAM W BACKUS HOSPITAL, NORWICH, CT 06360
(860) 889-8331
Mailing address
326 WASHINGTON ST, WILLIAM W BACKUS HOSPITAL, NORWICH, CT 06360
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000882
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181420
MHN
—
Enumeration date
11/06/2006
Last updated
07/08/2007
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