Individual
DR. MICHELLE BOBULINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
280 SOUTH MAIN STREET, SUITE 102, CHESHIRE, CT 06410
(860) 870-6385
(203) 250-0191
Mailing address
1202 LARSON DR, DANBURY, CT 06810-7379
(203) 743-3973
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
CT002359
CT
174400000X
Specialist
CT002359
CT
2084N0400X
Neurology Physician
CT002359
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002359CT01
ANTHEM
CT
01
—
7226563
AETNA
CT
Enumeration date
06/16/2005
Last updated
07/19/2022
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