Individual
DR. ROBERT PAUL DE CARLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
11 SOUTH MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 346-1266
Mailing address
11 SOUTH MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 346-1266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CTLIC1570
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004257507
AETNA
—
01
—
015700
CTCARE
—
01
—
060001570CT02
ANTHEM BCBS
—
01
—
134524
VALUE OPTIONS
—
01
—
153151
MANAGED HEALTH NETWORK
—
01
—
279844
PRIVATE HEALTH CARE SYSTE
—
01
—
73825
CIGNA BH
—
01
—
IP294886
MAGELLAN
—
01
—
OV2128
HEALTH NET
—
01
—
P568966
OXFORD HEALTH
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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