Individual
DEBRA WOODRUFF GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
900 CHAPEL ST, NEW HAVEN, CT 06510-2802
(203) 675-4634
Mailing address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002275
CT
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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