Individual
DR. PETER PAUL TOLISANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
68 S MAIN ST STE 200, WEST HARTFORD, CT 06107-2445
(860) 778-4942
Mailing address
111 DEKOVEN DR APT 1202, MIDDLETOWN, CT 06457-3465
(860) 778-4942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2993
CT
Other
Enumeration date
04/19/2007
Last updated
09/03/2021
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