Individual
LESLIE A BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
GAYLORD FARM RD, GAYLORD HOSPITAL, WALLINGFORD, CT 06492
(203) 284-2800
(203) 294-3294
Mailing address
7 RIVER RD, UNIT 305, COS COB, CT 06807-2723
(203) 637-2930
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1456
CT
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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