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NPI Code Detail

MEDICARE: DR. JOEL ALLISON PHD

MEDICARE: DR. JOEL ALLISON PHD
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
1103TC0700XClinical Psychologist000325CT

General Provider Information

NPI Number : 1932117736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL ALLISON PHD
Provider Business Mailing Address
First Line : 258 BRADLEY STREET
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510
Country : US
Telephone Number : 203-865-5800
Fax Number :
Provider Business Practice Location Address
First Line : 436 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-6402
Country : US
Telephone Number : 203-865-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 11/05/2010

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