Individual
DR. SCOTT SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1635 CENTRAL AVENUE, BRIDGEPORT, CT 06610-2717
(203) 551-7509
Mailing address
1635 CENTRAL AVENUE, BRIDGEPORT, CT 06610-2717
(203) 551-7509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001599
CT
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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