Individual
THERESA C ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
44 STANNARD AVE, BRANFORD, CT 06405-4430
(203) 488-1969
Mailing address
44 STANNARD AVE, BRANFORD, CT 06405-4430
(203) 488-1969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002668
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001239
L.C.S.W.
CT
01
—
002668
PSYCHOLOGIST
CT
01
—
11447185
C.A.Q.H.
CT
Enumeration date
08/13/2006
Last updated
07/08/2007
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