Individual
PATRICIA ANNE BALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
234 CHURCH ST, SUITE 1201, NEW HAVEN, CT 06510-1804
(203) 787-5938
(203) 787-9447
Mailing address
40 FOX HILL RD, WOODBRIDGE, CT 06525-1425
(203) 787-5938
(203) 787-9447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000799
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049674
VALUE OPTIONS
CT
01
—
060000799CT01
ANTHEM BLUE CROSS/BLUE SH
CT
01
—
080257
MHN
CT
01
—
OV8400
HEALTHNET
CT
Enumeration date
08/31/2006
Last updated
07/08/2007
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