Individual
DR. MANUEL J ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1057 BROAD ST, BRIDGEPORT, CT 06604-4219
(203) 336-3661
Mailing address
1057 BROAD ST, BRIDGEPORT, CT 06604-4219
(203) 336-3661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001976
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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