Individual
STEFANIE LYNN GILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511-6662
(203) 785-2095
Mailing address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511-6662
(203) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
113304
MT
2084P0800X
Psychiatry Physician
Primary
63785
CT
390200000X
Student in an Organized Health Care Education/Training Program
H418028519813
MN
Other
Enumeration date
04/18/2017
Last updated
11/29/2023
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