Individual
ERIC WHITTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
25 WATER ST, GUILFORD, CT 06437-2861
(203) 458-0661
(203) 458-6068
Mailing address
25 WATER ST, GUILFORD, CT 06437-2861
(203) 458-0661
(203) 458-6068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001947
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004165363
—
CT
Enumeration date
08/10/2006
Last updated
07/17/2008
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