Individual
JESSICA MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(209) 785-7803
Mailing address
P.O. BOX 207900, 230 SOUTH FRONTAGE ROAD, NEW HAVEN, CT 06520
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
003576
CT
Other
Enumeration date
05/02/2014
Last updated
11/21/2016
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