Individual
MR. MICHAEL REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9520
Mailing address
10 COLUMBUS BLVD FL 4, HARTFORD, CT 06106-1976
(508) 791-3261
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3783
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2016
Last updated
09/22/2022
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