Organization
BARBARA H. CORN, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY SMALLWOOD (CREDENTIALING COORDINATOR)
(812) 853-9110
Entity
Organization
Contact information
Practice address
849 BOSTON POST RD STE 203, MILFORD, CT 06460-3537
(120) 387-7329
Mailing address
146 FOXWOOD CLOSE, MILFORD, CT 06461-2732
(203) 877-3298
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002070
CT
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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