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Individual

DR. STEPHEN P BANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD ABPP

Contact information

Practice address
267 WILLIAM STREET, MIDDLETOWN, CT 06457
(860) 346-1166
Mailing address
267 WILLIAM STREET, MIDDLETOWN, CT 06457
(860) 346-1166

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
385
CT

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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