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NPI Code Detail

MEDICARE: DR. NORRIS M. HAYNES PH.D.

MEDICARE:  DR. NORRIS M. HAYNES  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist001400CT

General Provider Information

NPI Number : 1598907156
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORRIS M. HAYNES PH.D.
Provider Business Mailing Address
First Line : 105 WESTWOOD RD
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-2244
Country : US
Telephone Number : 203-668-0028
Fax Number :
Provider Business Practice Location Address
First Line : 105 WESTWOOD RD
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-2244
Country : US
Telephone Number : 203-668-0028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2009
Last Update Date : 03/28/2009

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Directions to “ DR. NORRIS M. HAYNES PH.D.” Practice Location

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