Individual
CAROLYN M MAZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
135 COLLEGE ST, SUITE 220, NEW HAVEN, CT 06510-2483
(203) 688-9711
(203) 688-9709
Mailing address
135 COLLEGE ST, SUITE 220, NEW HAVEN, CT 06510-2483
(203) 688-9711
(203) 688-9709
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004174231
—
CT
Enumeration date
10/17/2005
Last updated
03/15/2011
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