Individual
ALBERT PETITPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 BUTTERNUT LN, KENSINGTON, CT 06037-1200
(869) 836-8657
Mailing address
130 BUTTERNUT LN, KENSINGTON, CT 06037-1200
(860) 836-8657
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3253
MA
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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