Individual
DR. XOLI REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
436 ORANGE ST, NEW HAVEN, CT 06511-6402
(203) 772-8882
Mailing address
436 ORANGE ST, NEW HAVEN, CT 06511-6402
(203) 772-8882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3209
CT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3209
CT
103TB0200X
Cognitive & Behavioral Psychologist
3209
CT
103TC0700X
Clinical Psychologist
3209
CT
103TC2200X
Clinical Child & Adolescent Psychologist
3209
CT
103TF0000X
Family Psychologist
3209
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
10/17/2011
Last updated
09/04/2015
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