Individual
DR. REBECCA GRACE ETKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(917) 737-4644
Mailing address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(917) 737-4644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8.004113
CT
Other
Enumeration date
04/18/2018
Last updated
02/23/2022
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