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Individual

DR. DANIEL RAYMOND BROCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2 POMPERAUG OFFICE PARK, SUITE 206-D, SOUTHBURY, CT 06488-2288
(203) 264-3050
(203) 264-2426
Mailing address
2 POMPERAUG OFFICE PARK, SUITE 206-D, SOUTHBURY, CT 06488-2288
(203) 264-3050
(203) 264-2426

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
001851
CT
103T00000X
Psychologist
Primary
001851
CT

Other

Enumeration date
02/23/2007
Last updated
09/11/2025
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