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Individual

MS. KELLY FORAN TULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 CAMPBELL AVE, 116B, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, 116B, WEST HAVEN, CT 06516-2770
(203) 932-5711

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
7570440
NY

Other

Enumeration date
09/24/2009
Last updated
02/01/2012
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