Individual
LINDA C MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 S FRONTAGE RD, CHILD STUDY CENTER - SHM I-207, NEW HAVEN, CT 06519-1124
(203) 785-2513
(203) 785-4914
Mailing address
230 S FRONTAGE RD, CHILD STUDY CENTER - SHM I-207, NEW HAVEN, CT 06519-1124
(203) 785-2513
(203) 785-4914
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
026016
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001260165
—
CT
Enumeration date
10/26/2005
Last updated
03/15/2011
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