Individual
MARILISE ALEXIS HYACINTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, PH.D
Contact information
Practice address
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
(203) 688-5599
Mailing address
300 GEORGE ST STE 901, YALE DEPARTMENT OF PSYCHIATRY, NEW HAVEN, CT 06511-6662
(203) 688-2259
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053224
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
04/25/2017
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