Individual
DR. GARY M FREUDENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Mailing address
62 BOKUM RD, OLD SAYBROOK, CT 06475-1207
(860) 227-1044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001964
CT
Other
Enumeration date
06/22/2005
Last updated
07/27/2007
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