Individual
DR. ROSEMARY BLEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
154 COLLEGE ST, MIDDLETOWN, CT 06457-3201
(860) 347-1415
(860) 638-1121
Mailing address
154 COLLEGE ST, MIDDLETOWN, CT 06457-3201
(860) 347-1415
(860) 638-1121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001273
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D300058309
MEDICARE PTAN
CT
Enumeration date
11/30/2006
Last updated
01/03/2012
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