Individual
LYNETTE TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
78 BELMONT ST, HAMDEN, CT 06517-2303
(203) 230-1243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002661
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040399533
—
CT
Enumeration date
12/29/2006
Last updated
07/08/2007
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