Individual
EMILY BISTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(267) 732-3627
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
456
CT
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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