Individual
MR. JOEL DAVID PERLMUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
158 MAIN ST., SUITE #12, PUTNAM, CT 06260
(860) 928-6619
(978) 897-9797
Mailing address
49 LANTERN LN., STOW, MA 01775
(978) 897-9797
(978) 897-9797
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1354
MA
103TC0700X
Clinical Psychologist
Primary
602
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004008348
—
CT
Enumeration date
02/21/2007
Last updated
03/15/2017
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