Individual
DR. LAURENCE ANTOSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
363 MAIN ST, SUITE 405, MIDDLETOWN, CT 06457-3359
(860) 428-9842
(860) 742-9634
Mailing address
182 TWIN HILLS DR, COVENTRY, CT 06238-1075
(860) 742-9634
(860) 742-9634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1651
CT
Other
Enumeration date
01/24/2007
Last updated
01/14/2015
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