Individual
DR. JESSICA ABELLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIST
Contact information
Practice address
266 DIXWELL AVENUE, NORTHSIDE, NEW HAVEN, CT 06511-1134
(203) 503-3470
(203) 503-3478
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56571
CT
2084P0800X
Psychiatry Physician
MD460127
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
07/01/2010
Last updated
08/19/2019
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