Individual
WARREN ROY THIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT, HARTFORD, CT 06106
(860) 545-7665
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000776
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008007767
—
CT
Enumeration date
08/23/2006
Last updated
08/01/2008
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