Individual
DR. DOUGLAS I ZLATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 CASE ST, SUITE 301, NORWICH, CT 06360-2222
(860) 889-7274
(860) 889-2131
Mailing address
12 CASE ST, SUITE 301, NORWICH, CT 06360-2222
(860) 889-7274
(860) 889-2131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00688
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000688CT01
BLUE CROSS
CT
Enumeration date
09/22/2006
Last updated
07/08/2007
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