Individual
DR. CAROL SHILLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1224 FARMINGTON AVE, WEST HARTFORD, CT 06107-2618
(860) 561-1764
Mailing address
1224 FARMINGTON AVE, WEST HARTFORD, CT 06107-2618
(860) 561-1764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001880
CT
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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