Individual
THOMAS JOHN CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
60 OLD NEW MILFORD RD, SUITE 3-A, BROOKFIELD, CT 06804-2430
(203) 740-9119
(203) 740-9659
Mailing address
60 OLD NEW MILFORD RD, SUITE 3-A, BROOKFIELD, CT 06804-2430
(203) 740-9119
(203) 740-9659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
746
CT
103TC2200X
Clinical Child & Adolescent Psychologist
746
CT
103TF0000X
Family Psychologist
746
CT
Other
Enumeration date
01/31/2010
Last updated
01/31/2010
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