Individual
ROBERT DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9664
(860) 643-4074
Mailing address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9664
(860) 643-4074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002315
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002315CT07
ANTHEM
CT
01
—
2036639
CIGNA
CT
01
—
234043
MHN
CT
01
—
61-89608
UNITED HEALTH CARE
CT
Enumeration date
10/24/2006
Last updated
07/08/2007
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