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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON CLAYMAN (OWNER)
(203) 314-4355
Entity
Organization

Contact information

Practice address
195 S MAIN ST STE 2, CHESHIRE, CT 06410-3171
(203) 314-4355
Mailing address
178 EDWARDS RD, CHESHIRE, CT 06410-2703

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008069301
CT
Enumeration date
02/27/2023
Last updated
02/27/2023
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