Individual
DR. LESLIE F DIMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
210 MILLBROOK RD, NORTH HAVEN, CT 06473-4336
(203) 507-2036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003109
CT
Other
Enumeration date
12/21/2005
Last updated
05/06/2013
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