Individual
DR. REID JOSEPH DAITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1177 HIGH RIDGE RD, 209, STAMFORD, CT 06905-1221
(203) 322-1779
(203) 968-0490
Mailing address
1177 HIGH RIDGE RD, 209, STAMFORD, CT 06905-1221
(203) 322-1779
(203) 968-0490
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
682
CT
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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