Individual
DR. JOSEPH AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
324 FRENCH ST, WATERTOWN, CT 06795-2929
(860) 417-7194
Mailing address
324 FRENCH ST, WATERTOWN, CT 06795-2929
(860) 945-5077
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6795487707
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6795487707
—
CT
Enumeration date
03/18/2019
Last updated
03/18/2019
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