Roy Nisenson PHD MDIV

NPI 1679584882 - Psychologist - 103T00000X

NPI Details
NPI 1679584882
Gender Male
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
28 ACADEMY ST
NEW HAVEN CT, 06511-6930, US
Phone (203) 497-8320
Fax
Business Location
28 ACADEMY ST
NEW HAVEN CT, 06511-6930, US
Phone (203) 497-8320
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Connecticut
License Number 00678
Remove 1679584882 NPI Number
 

According to our database, Roy Nisenson PHD MDIV NPI is 1679584882, taxonomy code is 103T00000X and license number is 00678, license state is located at Connecticut. Roy Nisenson PHD MDIV physically located at 28 Academy St, New Haven CT, 06511-6930. NPI Number Roy Nisenson PHD MDIV has the Individual type.

Sponsored links

1679584882 NPI number is provided on an as is basis without warranty of any kind. 1679584882 is maintained by the National Plan & Provider Enumeration System. The contents of Roy Nisenson PHD MDIV are for informational purposes only.