Organization
SEASIDE PSYCHOLOGICAL
Active
Organization
SEASIDE PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE DAUSER PSY.D. (DIRECTOR)
(203) 530-3392
Entity
Organization
Contact information
Practice address
19 W COVE RD, MOODUS, CT 06469-1300
(203) 530-3392
Mailing address
19 W COVE RD, MOODUS, CT 06469-1300
(203) 530-3392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002182
CT
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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