Individual
PROF. TYREK J PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
74 NEW LONDON TPKE STE 1, GLASTONBURY, CT 06033-4204
(860) 389-1256
Mailing address
41B NEW LONDON TPKE LOWR LEVEL, GLASTONBURY, CT 06033-4240
(860) 389-1256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CT
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
CT
103TC1900X
Counseling Psychologist
—
CT
Other
Enumeration date
07/23/2020
Last updated
12/07/2020
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