Individual
DR. MICHAEL HAYMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
494 MAIN ST, CROMWELL, CT 06416-2040
(860) 632-1296
Mailing address
494 MAIN ST, SUITE 200, CROMWELL, CT 06416-2040
(860) 632-1296
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
749
CT
103T00000X
Psychologist
Primary
749
CT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
749
CT
103TB0200X
Cognitive & Behavioral Psychologist
749
CT
103TC0700X
Clinical Psychologist
749
CT
103TC2200X
Clinical Child & Adolescent Psychologist
749
CT
103TF0200X
Forensic Psychologist
749
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004008983
—
CT
Enumeration date
10/03/2006
Last updated
02/27/2013
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