Individual
CHARLES LAWRENCE FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
469 BUCKLAND RD, SUITE 106, SOUTH WINDSOR, CT 06074-3737
(860) 644-6610
(860) 648-9232
Mailing address
469 BUCKLAND RD, SUITE 106, SOUTH WINDSOR, CT 06074-3737
(860) 644-6610
(860) 648-9232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001574
CT
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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