Individual
DIANA LIZCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0290
Mailing address
55 LOCK ST FL 3, NEW HAVEN, CT 06511-3603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003481
CT
Other
Enumeration date
05/14/2021
Last updated
05/17/2021
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