Individual
PAMELA VENTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 785-5657
(203) 764-5663
Mailing address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 785-5657
(203) 764-5663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002893
CT
103TC2200X
Clinical Child & Adolescent Psychologist
002893
CT
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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