Individual
JILL D SHALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. CLINICAL PSYCH
Contact information
Practice address
40 DALE ROAD, SUITE 201, AVON, CT 06001
(860) 676-9350
(860) 678-7178
Mailing address
40 DALE ROAD, SUITE 201, AVON, CT 06001
(860) 676-9350
(860) 678-7178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002308
CT
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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