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Contact Information

BLACK LOCUST PSYCHOLOGY PC
29 WICKHAM RD
EAST HADDAM, CT06423-1204
 Phone: 203-208-8641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BLACK LOCUST PSYCHOLOGY PC · (Female)

NPI # 1588460463
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2025
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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