Individual
DR. JESSE GELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
389 WHITNEY AVE, NEW HAVEN, CT 06511-2301
(203) 785-8553
(203) 562-6355
Mailing address
389 WHITNEY AVE, NEW HAVEN, CT 06511-2301
(203) 785-8553
(203) 562-6355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1152
CT
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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