Individual
DR. JODIE MARIE AMBROSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2 CHURCH ST S, SUITE 404, NEW HAVEN, CT 06519-1717
(203) 785-5282
(203) 764-6748
Mailing address
2 CHURCH ST S, SUITE 404, NEW HAVEN, CT 06519-1717
(203) 785-5282
(203) 764-6748
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
002646
CT
Other
Enumeration date
07/10/2007
Last updated
09/26/2007
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