Thomas D. Patenaude, Psy.d., L.l.c.

NPI 1275873770 - Psychologist - 103T00000X

NPI Details
NPI 1275873770
Enumeration Date 02/20/2013
Last Updated 02/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name THOMAS THOMAS
Position OWNER
Phone (860) 722-3019
Fax (860) 688-0004
Practice Location
41 MECHANIC ST
WINDSOR CT, 06095-2545, US
Phone (860) 722-3019
Fax (860) 688-0004
Business Location
30 MAPLE AVE
WINDSOR CT, 06095-2922, US
Phone (860) 722-3019
Fax (860) 688-0004
Toxanomy
Taxonomy Code 103T00000X
License State Connecticut
License Number 002732
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According to our database, Thomas D. Patenaude, Psy.d., L.l.c. NPI is 1275873770, taxonomy code is 103T00000X and license number is 002732, license state is located at Connecticut. Thomas D. Patenaude, Psy.d., L.l.c. physically located at 41 Mechanic St, Windsor CT, 06095-2545. NPI Number 1033115704 has the healthcare provider type.

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1275873770 NPI number is provided on an as is basis without warranty of any kind. 1275873770 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas D. Patenaude, Psy.d., L.l.c. are for informational purposes only.