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Individual

DR. WAYNE DAVID ROSENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
320 POMFRET ST, DAY KIMBALL HEALTHCARE, PUTNAM, CT 06260-1836
(860) 963-6385
(860) 963-6393
Mailing address
320 POMFRET ST, DAY KIMBALL HEALTHCARE, PUTNAM, CT 06260-1836
(860) 963-6385
(860) 963-6393

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000935
CT
103TB0200X
Cognitive & Behavioral Psychologist
000935
CT
103TH0100X
Health Service Psychologist
000935
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
000935
CT
103TS0200X
School Psychologist
000935
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008036465
CT
Enumeration date
12/06/2006
Last updated
09/19/2012
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