Individual
DR. DOUGLAS WAYLAND-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
31 PORTER ST, POST OFFICE BOX 800, LAKEVILLE, CT 06039-1214
(860) 435-9292
Mailing address
31 PORTER ST, PO BOX 800, LAKEVILLE, CT 06039-1214
(860) 435-9292
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002476
CT
Other
Enumeration date
09/22/2006
Last updated
09/18/2008
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