Individual
BRIAN D KILUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 LONG WHARF DR, SUBSTANCE ABUSE TREATMENT UNIT (SATU), NEW HAVEN, CT 06511-5991
(203) 974-5736
(203) 974-5790
Mailing address
1 LONG WHARF DR, SUBSTANCE ABUSE TREATMENT UNIT (SATU), NEW HAVEN, CT 06511-5991
(203) 974-5736
(203) 974-5790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003121
CT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
003121
CT
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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