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Individual

DR. MARK SPELLMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
119 BALL POND RD, NEW FAIRFIELD, CT 06812-4536
(203) 546-7276
Mailing address
119 BALL POND RD, NEW FAIRFIELD, CT 06812-4536
(203) 546-7276

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
068120
NY
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3152
CT

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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