Individual
DR. ANDREA ELIZABETH DEPETRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0290
Mailing address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023851
NY
103T00000X
Psychologist
Primary
3979
CT
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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