Individual
ELLEN WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1669 THOMASTON AVE, WATERBURY, CT 06704-1026
(203) 759-3599
Mailing address
1669 THOMASTON AVE, WATERBURY, CT 06704-1026
(203) 759-3599
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002701
CT
103TC0700X
Clinical Psychologist
PY7245
FL
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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