Individual
MISS REGINA PAULETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
376 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 571-0055
(860) 571-8466
Mailing address
376 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 571-0055
(860) 571-8466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002299
CT
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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