Individual
MR. RICHARD AUSTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
473 WHALLEY AVE, UNIT L, NEW HAVEN, CT 06511-3072
(860) 249-9625
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
000931
CT
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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