Organization
VETERANS AFFAIRS
Active
Organization
VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MARTINO (CHIEF OF PSYCHOLOGY)
(203) 932-5711
Entity
Organization
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
26 MAPLEWOOD RD, NEW HAVEN, CT 06515-1815
(818) 921-0072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3546
CT
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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