Individual
DR. MARK A EDINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
145 MARNE AVE, FAIRFIELD, CT 06825-1752
(203) 254-8372
(203) 335-5497
Mailing address
145 MARNE AVE, FAIRFIELD, CT 06825-1752
(203) 335-5497
(203) 335-5497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100484
—
CT
Enumeration date
08/25/2005
Last updated
09/02/2013
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