Individual
PHILIP S. CARDAMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
152 DEMING ST, PROVIDERCARE PLUS, SOUTH WINDSOR, CT 06074-3740
(860) 644-4472
(860) 644-3001
Mailing address
152 DEMING ST, PROVIDERCARE PLUS, SOUTH WINDSOR, CT 06074-3740
(860) 644-4472
(860) 644-3001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001393
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004080511
—
CT
Enumeration date
12/29/2005
Last updated
10/30/2009
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