Individual
DR. SCOTT T. SERVISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
21 CHICAGO AVE, GROTON, CT 06340-4907
(860) 437-2188
Mailing address
42 BEN MERRILL RD, CLINTON, CT 06413-1232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001854
CT
101YM0800X
Mental Health Counselor
4608
MA
Other
Enumeration date
01/31/2007
Last updated
08/09/2013
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