Individual
DANIEL YESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
270 FARMINGTON AVE, SUITE 309, FARMINGTON, CT 06032-1909
(860) 677-5570
(860) 677-9570
Mailing address
28 ROSELAND TER, LONGMEADOW, MA 01106-1128
(413) 567-3080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002784
CT
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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