Individual
DR. FAITH ANNE DOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
163 COLLEGE ST, MIDDLETOWN, CT 06457-3238
(860) 346-0906
Mailing address
168R TRI MOUNTAIN RD, DURHAM, CT 06422-2310
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001614
CT
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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