Individual
SCOTT W. EDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
MAPLE RIDGE CLINICAL SERVICES, 1066 STORRS ROAD, STORRS, CT 06268
(860) 477-1515
(860) 429-2949
Mailing address
414 WOODLAND RD, STORRS MANSFIELD, CT 06268-1423
(860) 477-1515
(860) 429-2949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001531
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004099710
—
CT
Enumeration date
01/12/2006
Last updated
12/19/2019
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