Individual
DR. CARRISSA PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
360 MAIN ST STE 2D, MIDDLETOWN, CT 06457-3375
(860) 248-6041
Mailing address
424 HIGH ST, MIDDLETOWN, CT 06457-2633
(860) 740-2041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
022247-1
NY
103T00000X
Psychologist
Primary
3682
CT
Other
Enumeration date
09/11/2017
Last updated
01/13/2022
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