Individual
DR. LISA M FUCITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 974-5759
(203) 974-5790
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 974-5759
(203) 974-5790
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003131
CT
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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