Individual
DR. WENDY ELESE WAITHE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
441 ORANGE ST, NEW HAVEN, CT 06511-6217
(203) 824-2464
Mailing address
441 ORANGE ST, NEW HAVEN, CT 06511-6217
(203) 824-2464
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
002791
CT
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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