Individual
DR. DEREK ALAN FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3310
(860) 545-7437
(860) 972-5937
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3310
(860) 545-7437
(860) 972-5937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4009
CT
Other
Enumeration date
10/09/2020
Last updated
01/20/2021
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